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General NPI Number Information
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NPI Number | 1144361981
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Entity Type | Organization
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Legal Business Name | JOHN T. MOOR, M.D.,P.A.
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Dates
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Enumeration Date | 02/12/2007
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Last Update Date | 08/14/2023
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Provider Practice Location Address
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Address Line | 2446 S TAMIAMI TRL
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City | SARASOTA
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State | FL
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Zip | 34239-3809
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Country | US
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Telephone | 941-957-1500
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Fax | 941-957-3059
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Provider Business Mailing Address
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Address Line | 2446 S TAMIAMI TRL
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City | SARASOTA
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State | FL
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Zip | 34239-3809
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Country | US
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Telephone | 941-957-1500
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Fax | 941-957-3059
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JOHN TIMOTHY MOOR
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Credential | M.D.
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Telephone | 941-957-1500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | ME0055341
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License Number State | FL
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