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General NPI Number Information
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NPI Number | 1154549269
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Entity Type | Individual
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Provider Name | REBECCA RUTH MOORE M.D.
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Gender | Female
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Dates
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Enumeration Date | 04/23/2007
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Last Update Date | 11/17/2025
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Provider Practice Location Address
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Address Line | 7780 S BROADWAY STE 300
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City | LITTLETON
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State | CO
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Zip | 80122-2633
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Country | US
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Telephone | 970-310-3406
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Fax | 410-938-5131
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Provider Business Mailing Address
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Address Line | 7780 S BROADWAY STE 300
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City | LITTLETON
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State | CO
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Zip | 80122-2633
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Country | US
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Telephone | 970-310-3406
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Fax | 410-938-5131
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | DR.0076470
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | D0056910
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License Number State | MD
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