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General NPI Number Information
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NPI Number | 1124140769
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Entity Type | Individual
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Provider Name | FERNANDA MOREIRA MD
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Gender | Female
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Dates
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Enumeration Date | 04/04/2007
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Last Update Date | 03/22/2018
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Provider Practice Location Address
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Address Line | 4515 PREMIER DR STE 204
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City | HIGH POINT
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State | NC
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Zip | 27265-8356
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Country | US
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Telephone | 336-802-2075
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Fax | 336-802-2076
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Provider Business Mailing Address
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Address Line | 1701 WESTCHESTER DR STE 850
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City | HIGH POINT
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State | NC
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Zip | 27262-7254
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Country | US
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Telephone | 336-702-2007
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 127589
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License Number State | NC
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