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General NPI Number Information
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NPI Number | 1346861077
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Entity Type | Individual
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Provider Name | MEGAN CAROLINE MOORE MD
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Gender | Female
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Dates
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Enumeration Date | 05/05/2020
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Last Update Date | 02/05/2026
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Provider Practice Location Address
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Address Line | 6620 MAIN ST
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City | HOUSTON
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State | TX
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Zip | 77030-2348
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Country | US
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Telephone | 832-355-1400
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Fax |
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Provider Business Mailing Address
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Address Line | 1825 OLD DAVID CROCKETT HWY
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City | WINCHESTER
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State | TN
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Zip | 37398-3487
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Country | US
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Telephone | 931-308-7325
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | W3578
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License Number State | TX
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