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General NPI Number Information
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NPI Number | 1073761458
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Entity Type | Organization
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Legal Business Name | MOORE CREATIVE SERVICES, INC.
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Dates
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Enumeration Date | 08/28/2008
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Last Update Date | 08/28/2008
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Provider Practice Location Address
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Address Line | 751 LAUREL ST # 860
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City | SAN CARLOS
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State | CA
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Zip | 94070-3113
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Country | US
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Telephone | 650-654-9574
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Fax | 650-654-9577
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Provider Business Mailing Address
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Address Line | 751 LAUREL ST # 860
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City | SAN CARLOS
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State | CA
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Zip | 94070-3113
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Country | US
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Telephone | 650-654-9574
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Fax | 650-654-9577
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Authorized Official
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Title or Position | OWNER
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Name | MR. ED MOORE
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Credential |
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Telephone | 650-654-9574
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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