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General NPI Number Information
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NPI Number | 1992182299
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Entity Type | Organization
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Legal Business Name | MOONEY & ASSOCIATES
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Dates
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Enumeration Date | 05/06/2015
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 609 W LITTLETON BLVD STE 309
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City | LITTLETON
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State | CO
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Zip | 80120-2352
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Country | US
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Telephone | 720-460-0872
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Fax |
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Provider Business Mailing Address
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Address Line | 2305 E ARAPAHOE RD SUITE123
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City | CENTENNIAL
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State | CO
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Zip | 80122
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Country | US
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Telephone | 720-460-0872
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | FREDERICK J MOONEY
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Credential | LPC
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Telephone | 720-460-0872
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 5399
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License Number State | CO
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