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General NPI Number Information
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NPI Number | 1881061562
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Entity Type | Individual
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Provider Name | GLORIA MOORE
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Gender | Female
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Dates
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Enumeration Date | 08/28/2015
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Last Update Date | 11/25/2025
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Provider Practice Location Address
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Address Line | 14100 GLENGYLE ST
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City | WHITTIER
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State | CA
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Zip | 90604-2434
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Country | US
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Telephone | 562-777-1222
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Fax |
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Provider Business Mailing Address
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Address Line | 845 E ARROW HWY
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City | POMONA
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State | CA
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Zip | 91767-2535
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Country | US
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Telephone | 626-258-0300
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 145260
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License Number State | CA
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