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General NPI Number Information
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NPI Number | 1639585425
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Entity Type | Individual
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Provider Name | MONICA DENISE MOORING DSW, MSW
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Gender | Female
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Dates
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Enumeration Date | 07/01/2014
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Last Update Date | 10/18/2022
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Provider Practice Location Address
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Address Line | 3959 MIRA LINDA PT APT. 1534
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City | COLORADO SPRINGS
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State | CO
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Zip | 80920-6907
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Country | US
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Telephone | 719-213-8773
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1772
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City | SAN PEDRO
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State | CA
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Zip | 90733-1772
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Country | US
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Telephone | 719-213-8773
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | LSW2304
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License Number State | HI
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Taxonomy #2
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | LSW-2304
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License Number State | HI
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