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General NPI Number Information
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NPI Number | 1508814880
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Entity Type | Individual
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Provider Name | DAVID R MOORE M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/05/2006
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Last Update Date | 03/18/2020
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Provider Practice Location Address
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Address Line | 2021 CHURCH ST SUITE 200
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City | NASHVILLE
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State | TN
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Zip | 37203-2021
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Country | US
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Telephone | 615-284-2000
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Fax | 615-284-2003
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Provider Business Mailing Address
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Address Line | 2004 HAYES ST STE 200
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City | NASHVILLE
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State | TN
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Zip | 37203-2689
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Country | US
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Telephone | 615-324-1600
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Fax | 615-324-1661
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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 | 207XX0005X
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Taxonomy Name | Sports Medicine (Orthopaedic Surgery) Physician
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License Number | MD0000038464
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License Number State | TN
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