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General NPI Number Information
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NPI Number | 1396225462
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Entity Type | Individual
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Provider Name | RACHEL MASTERS MOORE CRNP
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Gender | Female
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Dates
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Enumeration Date | 08/18/2018
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Last Update Date | 09/28/2018
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Provider Practice Location Address
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Address Line | 2451 USA MEDICAL CENTER DR
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City | MOBILE
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State | AL
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Zip | 36617-2300
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Country | US
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Telephone | 251-471-7000
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Fax |
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Provider Business Mailing Address
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Address Line | 1959 CLEARMONT ST
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City | MOBILE
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State | AL
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Zip | 36606-1361
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Country | US
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Telephone | 478-335-1570
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 1-144490
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN9480788
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 1-144490
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License Number State | AL
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