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General NPI Number Information
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NPI Number | 1811781198
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Entity Type | Individual
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Provider Name | ROBIN RENEE MOORE
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Gender | Female
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Dates
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Enumeration Date | 04/09/2025
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Last Update Date | 04/09/2025
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Provider Practice Location Address
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Address Line | 4541 5TH STREET RD
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City | HUNTINGTON
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State | WV
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Zip | 25701-9112
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Country | US
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Telephone | 304-200-4278
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Fax |
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Provider Business Mailing Address
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Address Line | 5613 N WOLF CRK
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City | LOVELY
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State | KY
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Zip | 41231-8964
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Country | US
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Telephone | 606-626-1066
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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 |
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License Number State |
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