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General NPI Number Information
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NPI Number | 1982779674
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Entity Type | Individual
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Provider Name | NANCY JOAN MOONSTARR PHD & LPC
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Gender | Female
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Dates
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Enumeration Date | 11/21/2006
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Last Update Date | 12/22/2008
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Provider Practice Location Address
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Address Line | 4 RIVERVIEW RD
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City | SEVERNA PARK
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State | MD
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Zip | 21146-4630
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Country | US
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Telephone | 410-431-8870
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Fax | 410-431-7177
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Provider Business Mailing Address
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Address Line | 4 RIVERVIEW RD
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City | SEVERNA PARK
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State | MD
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Zip | 21146-4630
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Country | US
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Telephone | 410-431-8870
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Fax | 410-431-7177
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | PSY1000166
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License Number State | DC
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | LC0408
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License Number State | MD
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