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General NPI Number Information
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NPI Number | 1184086274
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Entity Type | Individual
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Provider Name | CINDY MARGARET MOORE MD
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Gender | Female
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Dates
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Enumeration Date | 03/28/2016
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Last Update Date | 11/20/2023
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Provider Practice Location Address
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Address Line | 720 N BOND ST
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City | SPRINGFIELD
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State | IL
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Zip | 62702-4952
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Country | US
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Telephone | 217-545-8000
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Fax | 217-545-0253
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Provider Business Mailing Address
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Address Line | PO BOX 19639
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City | SPRINGFIELD
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State | IL
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Zip | 62794-9639
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Country | US
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Telephone | 217-545-8000
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Fax | 844-470-2488
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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 | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | 65048
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | 036.167367
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License Number State | IL
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