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General NPI Number Information
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NPI Number | 1134286172
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Entity Type | Individual
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Provider Name | FRANCIS PETER MOORE RPT
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Gender | Male
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Dates
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Enumeration Date | 01/02/2007
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Last Update Date | 01/30/2008
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Provider Practice Location Address
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Address Line | 1164 BEAR HILL RD POB 202
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City | DOVER FOXCROFT
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State | ME
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Zip | 04426-3216
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Country | US
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Telephone | 207-564-2131
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Fax | 207-564-2131
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Provider Business Mailing Address
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Address Line | 1164 BEAR HILL RD POB 202
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City | DOVER FOXCROFT
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State | ME
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Zip | 04426-3216
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Country | US
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Telephone | 207-564-2131
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Fax | 207-564-2131
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 00234
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License Number State | ME
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Taxonomy #2
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Taxonomy Code | 171W00000X
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Taxonomy Name | Contractor
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License Number | 00234
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License Number State | ME
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