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General NPI Number Information
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NPI Number | 1275852741
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Entity Type | Individual
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Provider Name | ERIN ROCHELLE MOORE IBCLC, CD-DONA
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Gender | Female
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Dates
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Enumeration Date | 05/24/2010
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Last Update Date | 12/19/2023
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Provider Practice Location Address
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Address Line | 117 S OAKWOOD DR
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City | STATESVILLE
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State | NC
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Zip | 28677-5942
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Country | US
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Telephone | 704-450-9972
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Fax |
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Provider Business Mailing Address
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Address Line | 117 S OAKWOOD DR
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City | STATESVILLE
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State | NC
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Zip | 28677-5942
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Country | US
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Telephone | 704-450-9972
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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 | 374J00000X
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Taxonomy Name | Doula
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 174N00000X
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Taxonomy Name | Lactation Consultant (Non-RN)
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License Number |
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License Number State |
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