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General NPI Number Information
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NPI Number | 1992012504
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Entity Type | Individual
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Provider Name | DEBBIE G MOON AMFT
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Gender | Female
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Dates
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Enumeration Date | 09/02/2010
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Last Update Date | 03/10/2011
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Provider Practice Location Address
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Address Line | 722 SHEPARD LN STE 101
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City | FARMINGTON
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State | UT
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Zip | 84025-3845
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Country | US
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Telephone | 801-837-3228
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Fax | 888-778-2417
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Provider Business Mailing Address
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Address Line | 733 KING ST # 263
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City | LAYTON
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State | UT
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Zip | 84041-4672
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Country | US
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Telephone | 801-837-3228
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Fax | 888-778-2417
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 5484887-3904
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License Number State | UT
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