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General NPI Number Information
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NPI Number | 1891570214
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Entity Type | Organization
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Legal Business Name | MOORE COUNSELING AND CARE LLC
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Dates
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Enumeration Date | 08/25/2023
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Last Update Date | 09/04/2023
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Provider Practice Location Address
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Address Line | 9901 NE 7TH AVE STE A206
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City | VANCOUVER
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State | WA
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Zip | 98685-4526
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Country | US
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Telephone | 360-844-0462
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Fax |
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Provider Business Mailing Address
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Address Line | 12714 NE 8TH CT
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City | VANCOUVER
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State | WA
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Zip | 98685-3054
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MATTHEW MOORE
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Credential | LICSW
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Telephone | 360-844-0462
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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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 | 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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