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General NPI Number Information
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NPI Number | 1063419349
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Entity Type | Individual
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Provider Name | DOROTHY M MOORE M.D.
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Gender | Female
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Dates
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Enumeration Date | 07/01/2005
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Last Update Date | 04/24/2020
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Provider Practice Location Address
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Address Line | 2055 LIMESTONE RD STE 102
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City | WILMINGTON
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State | DE
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Zip | 19808-5536
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Country | US
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Telephone | 302-992-0430
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Fax | 302-992-0461
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Provider Business Mailing Address
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Address Line | 2055 LIMESTONE RD STE 102
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City | WILMINGTON
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State | DE
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Zip | 19808-5536
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Country | US
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Telephone | 302-992-0430
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Fax | 302-992-0461
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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 | 207WX0110X
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Taxonomy Name | Pediatric Ophthalmology and Strabismus Specialist Physician Physician
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License Number | C10002605
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License Number State | DE
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Taxonomy #2
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | C10002605
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License Number State | DE
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