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General NPI Number Information
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NPI Number | 1275162687
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Entity Type | Individual
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Provider Name | PATRICK MOYER DO
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Gender | Male
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Dates
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Enumeration Date | 04/07/2020
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Last Update Date | 10/14/2025
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Provider Practice Location Address
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Address Line | 3000 SAINT MATTHEWS ROAD PO BOX 1806
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City | ORANGEBURG
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State | SC
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Zip | 29118
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Country | US
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Telephone | 803-533-2200
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 23321
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City | NEW YORK
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State | NY
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Zip | 10087-4321
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Country | US
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Telephone |
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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 | 91417
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License Number State | SC
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