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General NPI Number Information
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NPI Number | 1982380085
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Entity Type | Individual
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Provider Name | ANDREA ISABELLE MOYA MUNOZ PLC
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Gender | Female
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Dates
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Enumeration Date | 06/23/2023
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Last Update Date | 06/17/2025
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Provider Practice Location Address
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Address Line | 124 N COURT ST
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City | FREDERICK
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State | MD
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Zip | 21701-6614
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Country | US
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Telephone | 301-304-7108
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Fax |
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Provider Business Mailing Address
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Address Line | 220 W WASHINGTON ST APT 1
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City | CHARLES TOWN
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State | WV
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Zip | 25414-1544
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Country | US
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Telephone | 917-371-3601
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 825
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License Number State | WV
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