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General NPI Number Information
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NPI Number | 1568022093
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Entity Type | Individual
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Provider Name | HALEY MOORE LPCC
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Gender | Female
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Dates
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Enumeration Date | 06/17/2019
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Last Update Date | 05/02/2024
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Provider Practice Location Address
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Address Line | 4760 RED BANK RD
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City | CINCINNATI
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State | OH
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Zip | 45227-1548
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Country | US
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Telephone | 513-341-5419
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Fax |
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Provider Business Mailing Address
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Address Line | 4670 RED BANK EXPRESSWAY
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City | CINCINNATI
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State | OH
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Zip | 45227
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Country | US
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Telephone | 513-341-5419
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 2202909
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License Number State | OH
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