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General NPI Number Information
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NPI Number | 1417001272
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Entity Type | Organization
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Legal Business Name | MOORE HEALTHCARE, INC.
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Dates
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Enumeration Date | 01/22/2007
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Last Update Date | 02/07/2022
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Provider Practice Location Address
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Address Line | 301 N BROADWAY ST
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City | CLEVELAND
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State | OK
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Zip | 74020-3421
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Country | US
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Telephone | 918-358-2524
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Fax | 918-358-2588
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Provider Business Mailing Address
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Address Line | 301 N BROADWAY ST
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City | CLEVELAND
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State | OK
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Zip | 74020-3421
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Country | US
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Telephone | 918-358-2524
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Fax | 918-358-2588
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Authorized Official
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Title or Position | MANAGER
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Name | GREGORY P MOORE
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Credential |
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Telephone | 918-358-2587
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BP3500X
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Taxonomy Name | Parenteral & Enteral Nutrition Supplies (DME)
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License Number | 52-4094
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License Number State | OK
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Taxonomy #2
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Taxonomy Code | 332BX2000X
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Taxonomy Name | Oxygen Equipment & Supplies (DME)
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License Number | 52-S-1138
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License Number State | OK
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Taxonomy #3
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 52-4094
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License Number State | OK
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Taxonomy #4
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State | OK
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