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General NPI Number Information
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NPI Number | 1548333990
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Entity Type | Organization
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Legal Business Name | RODNEY C MOORE MD ASSOCIATED
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Dates
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Enumeration Date | 11/15/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1330 N BECKLEY AVE SUITE 101 3450 WHEATLAND 315
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City | DALLAS
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State | TX
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Zip | 75203
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Country | US
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Telephone | 214-943-4386
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Fax | 214-943-4316
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Provider Business Mailing Address
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Address Line | 1330 N BECKLEY AVENUE SUITE 101
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City | DALLAS
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State | TX
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Zip | 75203
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Country | US
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Telephone | 214-943-4386
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Fax | 214-943-4316
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. RODNEY CARL MOORE
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Credential | MD
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Telephone | 214-943-4386
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | C8381
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License Number State | TX
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