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General NPI Number Information
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NPI Number | 1285165530
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Entity Type | Individual
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Provider Name | SPENCER HARDING MOORE MD
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Gender | Male
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Dates
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Enumeration Date | 03/27/2017
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Last Update Date | 08/02/2023
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Provider Practice Location Address
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Address Line | 18 MEDICAL PARK DR
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City | ASHEVILLE
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State | NC
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Zip | 28803-2493
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Country | US
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Telephone | 828-253-7521
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Fax | 828-251-5992
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Provider Business Mailing Address
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Address Line | 9200 W WISCONSIN AVE PO BOX 26099
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City | MILWAUKEE
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State | WI
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Zip | 53226-3522
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 01087767A
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License Number State | IN
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