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General NPI Number Information
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NPI Number | 1134233687
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Entity Type | Individual
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Provider Name | MARCO A MOOR
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Gender | Male
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Dates
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Enumeration Date | 08/19/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 2221C TAMIAMI TRL
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City | PORT CHARLOTTE
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State | FL
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Zip | 33948-2104
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Country | US
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Telephone | 941-625-3366
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Fax |
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Provider Business Mailing Address
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Address Line | 11210 PARKSIDE PL
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City | BRADENTON
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State | FL
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Zip | 34202-1827
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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 | 237700000X
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Taxonomy Name | Hearing Instrument Specialist
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License Number | AS3685
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License Number State | FL
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