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General NPI Number Information
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NPI Number | 1669124152
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Entity Type | Individual
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Provider Name | LORRI MOORE HHP
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Gender | Female
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Dates
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Enumeration Date | 01/25/2022
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Last Update Date | 01/25/2022
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Provider Practice Location Address
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Address Line | 16430 VENTURA BLVD STE 100
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City | ENCINO
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State | CA
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Zip | 91436-2132
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Country | US
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Telephone | 818-974-2591
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Fax |
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Provider Business Mailing Address
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Address Line | 2335 MOHICAN LN
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City | VENTURA
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State | CA
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Zip | 93001-1404
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Country | US
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Telephone | 818-974-2591
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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 | 171400000X
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Taxonomy Name | Health & Wellness Coach
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License Number | 244694110
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License Number State | CA
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