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General NPI Number Information
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NPI Number | 1952423444
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Entity Type | Individual
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Provider Name | FREDERICK J. MOONEY LPC
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Gender | Male
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Dates
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Enumeration Date | 04/04/2007
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 609 W LITTLETON BLVD STE 309
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City | LITTLETON
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State | CO
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Zip | 80120-2352
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Country | US
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Telephone | 720-460-0872
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Fax |
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Provider Business Mailing Address
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Address Line | 2326 ORCHARD LN
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City | CENTENNIAL
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State | CO
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Zip | 80121-2650
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Country | US
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Telephone | 216-536-0187
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 5399
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License Number State | CO
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