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General NPI Number Information
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NPI Number | 1588556534
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Entity Type | Organization
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Legal Business Name | MOORE HOPE MENTAL HEALTH PLLC
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Dates
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Enumeration Date | 07/16/2025
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Last Update Date | 08/27/2025
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Provider Practice Location Address
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Address Line | 110 W MAIN ST STE 400
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City | MADELIA
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State | MN
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Zip | 56062-1440
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Country | US
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Telephone | 507-621-4654
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Fax | 507-528-7307
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Provider Business Mailing Address
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Address Line | PO BOX 2
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City | MADELIA
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State | MN
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Zip | 56062-0002
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Country | US
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Telephone | 507-621-4654
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Fax | 507-528-7307
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Authorized Official
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Title or Position | OWNER
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Name | REBECCA MOORE
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Credential | APRN, CNP, PMHNP-BC
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Telephone | 507-621-4654
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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