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General NPI Number Information
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NPI Number | 1851040505
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Entity Type | Individual
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Provider Name | RICHARD RANDOLPH MORAITIS CADC II, BCPC, CIP
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Gender | Male
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Dates
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Enumeration Date | 03/21/2022
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Last Update Date | 03/21/2022
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Provider Practice Location Address
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Address Line | 28202 CABOT RD STE 300
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City | LAGUNA NIGUEL
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State | CA
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Zip | 92677-1249
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Country | US
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Telephone | 949-303-8264
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Fax |
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Provider Business Mailing Address
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Address Line | 28202 CABOT RD STE 300
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City | LAGUNA NIGUEL
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State | CA
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Zip | 92677-1249
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Country | US
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Telephone | 949-303-8264
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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 | 101YP1600X
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Taxonomy Name | Pastoral Counselor
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License Number | BCPC094
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | A061130322
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License Number State | CA
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