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General NPI Number Information
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NPI Number | 1518184696
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Entity Type | Individual
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Provider Name | CYNTHIA LOUISE MOORE RD, CDCES, NBC-HWC,
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Gender | Female
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Dates
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Enumeration Date | 04/19/2007
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Last Update Date | 11/21/2024
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Provider Practice Location Address
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Address Line | 7 SHILOH CT
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City | PALMYRA
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State | VA
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Zip | 22963-3217
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Country | US
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Telephone | 434-987-1247
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Fax |
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Provider Business Mailing Address
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Address Line | 7 SHILOH CT
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City | PALMYRA
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State | VA
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Zip | 22963-3217
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Country | US
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Telephone | 434-987-1247
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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 | 133VN1006X
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Taxonomy Name | Metabolic Nutrition Registered Dietitian
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License Number | D01810
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License Number State | MD
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