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General NPI Number Information
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NPI Number | 1932748928
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Entity Type | Individual
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Provider Name | MRS. PAULA MOORMAN
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Gender | Female
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Dates
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Enumeration Date | 12/23/2019
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Last Update Date | 12/23/2019
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Provider Practice Location Address
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Address Line | 3928 BRECKSVILLE RD
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City | RICHFIELD
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State | OH
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Zip | 44286-9627
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Country | US
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Telephone | 216-440-1973
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Fax |
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Provider Business Mailing Address
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Address Line | 25896 WATER ST
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City | OLMSTED FALLS
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State | OH
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Zip | 44138-1639
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Country | US
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Telephone | 615-812-7340
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 1902392
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License Number State | OH
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