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General NPI Number Information
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NPI Number | 1861057150
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Entity Type | Organization
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Legal Business Name | MONIQUE MOORE, PLLC
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Dates
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Enumeration Date | 05/02/2019
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Last Update Date | 11/21/2023
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Provider Practice Location Address
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Address Line | 3000 CONNECTICUT AVE NW STE 137A
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City | WASHINGTON
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State | DC
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Zip | 20008-2683
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Country | US
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Telephone | 202-290-0216
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Fax | 202-299-0216
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Provider Business Mailing Address
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Address Line | 3904 INGOMAR ST NW
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City | WASHINGTON
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State | DC
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Zip | 20015-1916
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Country | US
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Telephone | 202-297-9407
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Fax |
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Authorized Official
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Title or Position | CLINICAL PSYCHOLOGIST
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Name | DR. MONIQUE S MOORE
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Credential | PHD
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Telephone | 202-299-0216
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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