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General NPI Number Information
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NPI Number | 1225195746
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Entity Type | Organization
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Legal Business Name | MOORE FOOT & ANKLE SPECIALISTS, PA
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Dates
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Enumeration Date | 01/03/2007
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Last Update Date | 04/03/2020
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Provider Practice Location Address
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Address Line | 136 MIMOSA DR
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City | ASHEVILLE
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State | NC
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Zip | 28806-1719
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Country | US
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Telephone | 828-350-1880
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Fax | 828-252-2272
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Provider Business Mailing Address
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Address Line | 136 MIMOSA DR
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City | ASHEVILLE
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State | NC
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Zip | 28806-1719
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Country | US
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Telephone | 828-350-1880
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Fax | 828-252-2772
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Authorized Official
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Title or Position | TREASURY
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Name | DR. JOHN CHRISTOPHER MOORE
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Credential | DPM
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Telephone | 828-350-1880
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | 467
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 213ES0131X
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Taxonomy Name | Foot Surgery Podiatrist
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License Number | 477
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | 477
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License Number State | NC
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Taxonomy #4
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | 467
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License Number State | NC
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