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General NPI Number Information
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NPI Number | 1477571727
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Entity Type | Individual
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Provider Name | TERRY M MOORE FNP
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Gender | Female
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Dates
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Enumeration Date | 07/17/2006
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Last Update Date | 02/04/2013
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Provider Practice Location Address
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Address Line | 120 W WASHINGTON ST
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City | NASHVILLE
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State | NC
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Zip | 27856-1378
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Country | US
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Telephone | 252-462-2632
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Fax | 225-246-2268
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Provider Business Mailing Address
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Address Line | 120 W WASHINGTON ST
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City | NASHVILLE
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State | NC
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Zip | 27856-1378
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Country | US
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Telephone | 252-462-2632
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Fax | 225-246-2268
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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 | 163WP0809X
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Taxonomy Name | Adult Psychiatric/Mental Health Registered Nurse
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License Number | RN 074175
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 201002
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 363LX0106X
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Taxonomy Name | Occupational Health Nurse Practitioner
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License Number | 201002
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License Number State | NC
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Taxonomy #4
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 201002
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License Number State | NC
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