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General NPI Number Information
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NPI Number | 1992150643
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Entity Type | Individual
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Provider Name | RASHEEDA N MOORER LPC
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Gender | Female
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Dates
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Enumeration Date | 05/02/2016
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Last Update Date | 05/08/2025
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Provider Practice Location Address
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Address Line | 2969 W KEVIN RD
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City | AVON PARK
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State | FL
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Zip | 33825-6413
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Country | US
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Telephone | 863-873-3693
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Fax |
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Provider Business Mailing Address
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Address Line | 310 PINE ROCK CT UNIT C
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City | ALEXANDER
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State | AR
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Zip | 72002-3110
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Country | US
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Telephone | 863-873-3693
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 13485
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License Number State | FL
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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 | P2103165
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License Number State | AR
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