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General NPI Number Information
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NPI Number | 1457467680
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Entity Type | Individual
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Provider Name | JOHN SIDNEY MOREE M.D
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Gender | Male
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Dates
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Enumeration Date | 08/21/2006
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Last Update Date | 04/22/2025
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Provider Practice Location Address
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Address Line | HIGH LANDS PEDIATRICS 26210 LEE HIGHWAY
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City | ABINGDON
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State | VA
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Zip | 24211
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Country | US
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Telephone | 276-623-8188
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Fax | 276-623-8126
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Provider Business Mailing Address
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Address Line | NAVAL MEDICAL CENTER 100 BREWSTER BLVD
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City | CAMP LEJEUNE
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State | NC
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Zip | 25847-2538
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Country | US
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Telephone |
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 00024569
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License Number State | AL
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