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General NPI Number Information
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NPI Number | 1730387408
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Entity Type | Individual
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Provider Name | ANTOINETTE YVONNE MOON LCSW-C
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Gender | Female
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Dates
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Enumeration Date | 07/05/2007
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Last Update Date | 03/17/2018
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Provider Practice Location Address
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Address Line | 1712 TERRAPIN HILLS DR
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City | BOWIE
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State | MD
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Zip | 20721-2737
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Country | US
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Telephone | 301-499-2002
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Fax |
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Provider Business Mailing Address
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Address Line | 3512 25TH PL
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City | TEMPLE HILLS
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State | MD
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Zip | 20748-2902
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Country | US
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Telephone | 240-688-7991
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 12958
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License Number State | MD
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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 |
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License Number State |
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