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General NPI Number Information
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NPI Number | 1083731194
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Entity Type | Organization
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Legal Business Name | RUBYE WASHINGTON MOORE AND ASSOCIATES
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Dates
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Enumeration Date | 03/23/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 909 HIOAKS RD SUITE E
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City | RICHMOND
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State | VA
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Zip | 23225-4038
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Country | US
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Telephone | 804-323-3051
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Fax | 804-323-1493
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Provider Business Mailing Address
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Address Line | 909 HIOAKS RD SUITE E
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City | RICHMOND
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State | VA
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Zip | 23225-4038
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Country | US
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Telephone | 804-323-3051
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Fax | 804-323-1493
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. RUBYE D WASHINGTON MOORE
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Credential | MD
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Telephone | 804-323-3051
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 0101053243
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License Number State | VA
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