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General NPI Number Information
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NPI Number | 1386072296
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Entity Type | Individual
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Provider Name | DANNAH MICHELE MOORE MSN, RN, PMHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 10/31/2013
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Last Update Date | 01/27/2026
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Provider Practice Location Address
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Address Line | 429 ROPER MOUNTAIN RD STE 901
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City | GREENVILLE
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State | SC
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Zip | 29615-4254
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Country | US
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Telephone | 864-664-3121
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Fax | 864-860-7532
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Provider Business Mailing Address
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Address Line | 429 ROPER MOUNTAIN RD STE 901
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City | GREENVILLE
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State | SC
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Zip | 29615-4254
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Country | US
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Telephone | 864-664-3121
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Fax | 864-860-7532
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 27763
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License Number State | SC
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