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General NPI Number Information
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NPI Number | 1508039603
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Entity Type | Organization
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Legal Business Name | DAVID B. MOORE, DMD, PA
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Dates
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Enumeration Date | 04/09/2008
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Last Update Date | 04/09/2008
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Provider Practice Location Address
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Address Line | 310 ROUTE 24 BUILDING B, SUITE 1B
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City | CHESTER
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State | NJ
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Zip | 07930-2625
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Country | US
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Telephone | 908-879-4770
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 22
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City | CHESTER
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State | NJ
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Zip | 07930-0022
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Country | US
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Telephone | 908-879-4770
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DAVID BRUCE MOORE
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Credential | D.M.D.
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Telephone | 908-879-4770
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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