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General NPI Number Information
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NPI Number | 1982078317
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Entity Type | Individual
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Provider Name | ROB MOORE PHD, MSW, MSP, CADC
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Gender | Male
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Dates
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Enumeration Date | 11/23/2015
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Last Update Date | 02/07/2022
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Provider Practice Location Address
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Address Line | 7000 FRANKLIN BLVD STE 200
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City | SACRAMENTO
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State | CA
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Zip | 95823-1865
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Country | US
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Telephone | 916-662-6809
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Fax |
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Provider Business Mailing Address
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Address Line | 1327 LA CUEVA WAY
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City | SACRAMENTO
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State | CA
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Zip | 95831-5415
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Country | US
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Telephone | 916-662-6809
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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