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General NPI Number Information
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NPI Number | 1184776809
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Entity Type | Individual
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Provider Name | TERRALL NEAL MOORE D.O.
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Gender | Male
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Dates
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Enumeration Date | 01/16/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | BAPTIST HOSPITAL 1000 WEST MORENO STREET
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City | PENSACOLA
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State | FL
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Zip | 32522-7500
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Country | US
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Telephone | 850-434-4694
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Fax |
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Provider Business Mailing Address
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Address Line | 1110 TIGER TRACE BLVD
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City | GULF BREEZE
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State | FL
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Zip | 32563-7100
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Country | US
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Telephone | 850-916-5271
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Fax |
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | OS8926
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License Number State | FL
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