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Individual
JAMES E MOORE
Active
Individual
JAMES E MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY00001021
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0200922
WORKERS COMP
WA
01
—
1263451
UNITED HEALTHCARE
WA
Enumeration date
09/14/2006
Last updated
12/03/2007
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