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General NPI Number Information
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NPI Number | 1174705552
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Entity Type | Organization
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Legal Business Name | MAURICE J. MOYER ACADEMY
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Dates
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Enumeration Date | 11/28/2007
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Last Update Date | 07/10/2008
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Provider Practice Location Address
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Address Line | 97 VANDEVER AVE
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City | WILMINGTON
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State | DE
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Zip | 19802-4219
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Country | US
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Telephone | 302-428-9500
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Fax | 302-428-9506
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Provider Business Mailing Address
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Address Line | 97 VANDEVER AVE
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City | WILMINGTON
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State | DE
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Zip | 19802-4219
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Country | US
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Telephone | 302-428-9500
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Fax | 302-428-9506
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Authorized Official
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Title or Position | DIRECTOR/PRINCIPAL
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Name | MR. THEO K GREGORY SR.
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Credential |
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Telephone | 302-428-9500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251300000X
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Taxonomy Name | Local Education Agency (LEA)
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License Number |
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License Number State |
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