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General NPI Number Information
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NPI Number | 1417140732
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Entity Type | Organization
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Legal Business Name | RICHARD F. MOORHOUSE
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Dates
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Enumeration Date | 08/21/2007
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Last Update Date | 11/15/2022
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Provider Practice Location Address
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Address Line | 1 SCRIPPS DR STE 305
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City | SACRAMENTO
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State | CA
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Zip | 95825-6206
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Country | US
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Telephone | 916-369-6699
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Fax | 916-369-7642
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Provider Business Mailing Address
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Address Line | 1315 ALHAMBRA BLVD. 200
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City | SACRAMENTO
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State | CA
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Zip | 95816
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Country | US
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Telephone | 916-456-5566
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Fax | 916-456-7745
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Authorized Official
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Title or Position | OWNER
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Name | DR. RICHARD FRANCIS MOORHOUSE
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Credential | DDS
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Telephone | 916-456-5566
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | 30817
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License Number State | CA
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