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General NPI Number Information
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NPI Number | 1588292973
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Entity Type | Individual
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Provider Name | BRITTANY MOORE ED.S, HHC, NCSP
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Gender | Female
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Dates
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Enumeration Date | 03/31/2020
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Last Update Date | 04/02/2020
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Provider Practice Location Address
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Address Line | 143 SKATEWAY DR
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City | FAYETTEVILLE
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State | NC
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Zip | 28304-2640
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Country | US
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Telephone | 910-864-6257
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Fax |
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Provider Business Mailing Address
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Address Line | 6225 INDEPENDENCE PLACE DR APT 1336
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City | FAYETTEVILLE
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State | NC
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Zip | 28303-0229
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Country | US
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Telephone |
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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 | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number | 47172
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 174H00000X
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Taxonomy Name | Health Educator
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License Number |
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License Number State |
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