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General NPI Number Information
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NPI Number | 1043689979
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Entity Type | Individual
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Provider Name | RACHEL MARIE MOORE PHARMD, BCACP,BC-ADM
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Gender | Female
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Dates
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Enumeration Date | 09/22/2015
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Last Update Date | 08/21/2020
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Provider Practice Location Address
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Address Line | 5302 BUFFALO GAP RD
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City | ABILENE
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State | TX
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Zip | 79606-4246
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Country | US
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Telephone | 325-670-4545
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Fax |
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Provider Business Mailing Address
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Address Line | 1900 PINE ST
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City | ABILENE
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State | TX
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Zip | 79601-2432
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Country | US
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Telephone |
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 03334921
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 1835P2201X
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Taxonomy Name | Ambulatory Care Pharmacist
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License Number | 58414
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License Number State | TX
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