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General NPI Number Information
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NPI Number | 1396837506
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Entity Type | Individual
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Provider Name | TERA DAWN CRITCHFIELD MOORE PHARM.D., BCACP
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Gender | Female
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Dates
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Enumeration Date | 09/28/2006
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Last Update Date | 03/10/2023
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Provider Practice Location Address
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Address Line | 810 VERMONT AVE NW
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City | WASHINGTON
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State | DC
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Zip | 20420-0001
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Country | US
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Telephone | 303-842-4853
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Fax |
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Provider Business Mailing Address
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Address Line | 6652 S BILOXI WAY
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City | AURORA
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State | CO
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Zip | 80016-4464
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Country | US
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Telephone | 303-842-4853
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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 | 1835P2201X
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Taxonomy Name | Ambulatory Care Pharmacist
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License Number | 41860
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License Number State | TX
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