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General NPI Number Information
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NPI Number | 1245324185
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Entity Type | Individual
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Provider Name | LEON ELWIN MOORES MD, DSC
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Gender | Male
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Dates
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Enumeration Date | 10/03/2006
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Last Update Date | 11/27/2023
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Provider Practice Location Address
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Address Line | 3023 HAMAKER CT STE 300
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City | FAIRFAX
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State | VA
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Zip | 22031-2240
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Country | US
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Telephone | 703-848-6618
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Fax |
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Provider Business Mailing Address
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Address Line | 203 KENT OAKS WAY
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City | GAITHERSBURG
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State | MD
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Zip | 20878-5614
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Country | US
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Telephone | 301-295-2427
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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 | 207T00000X
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Taxonomy Name | Neurological Surgery Physician
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License Number | MD31653
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License Number State | DC
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Taxonomy #2
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Taxonomy Code | 207T00000X
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Taxonomy Name | Neurological Surgery Physician
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License Number | 0101255531
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License Number State | VA
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