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General NPI Number Information
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NPI Number | 1396535811
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Entity Type | Individual
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Provider Name | BRITTANY MARIE MOORE
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Gender |
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Dates
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Enumeration Date | 05/08/2025
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Last Update Date | 05/08/2025
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Provider Practice Location Address
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Address Line | 2800 LINCOLN ST
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City | OROVILLE
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State | CA
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Zip | 95966-5961
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Country | US
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Telephone | 530-534-7500
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Fax |
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Provider Business Mailing Address
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Address Line | 3485 BURLINGTON AVE
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City | OROVILLE
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State | CA
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Zip | 95966-6584
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Country | US
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Telephone | 530-716-0321
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | RI542490124
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License Number State | CA
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