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General NPI Number Information
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NPI Number | 1497030324
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Entity Type | Organization
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Legal Business Name | BRIAN A MOYE DDS , INC
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Dates
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Enumeration Date | 10/11/2011
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Last Update Date | 10/11/2011
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Provider Practice Location Address
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Address Line | 9204 FM 1960 RD W
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City | HOUSTON
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State | TX
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Zip | 77070-6208
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Country | US
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Telephone | 832-237-5002
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Fax | 832-237-3372
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Provider Business Mailing Address
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Address Line | 9204 FM 1960 RD W
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City | HOUSTON
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State | TX
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Zip | 77070-6208
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Country | US
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Telephone | 832-237-5002
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Fax | 832-237-3372
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Authorized Official
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Title or Position | OWNER
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Name | BRIAN MOYE
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Credential | DDS
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Telephone | 832-237-5002
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 16011
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License Number State | TX
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