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General NPI Number Information
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NPI Number | 1548997513
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Entity Type | Organization
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Legal Business Name | MOOREHEALTH
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Dates
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Enumeration Date | 08/01/2022
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Last Update Date | 08/01/2022
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Provider Practice Location Address
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Address Line | 67 PENN RD
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City | VOORHEES
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State | NJ
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Zip | 08043-4835
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Country | US
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Telephone | 347-912-7566
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Fax |
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Provider Business Mailing Address
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Address Line | 532 MARLTON PIKE W # 407
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City | MARLTON
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State | NJ
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Zip | 08053-2075
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO/PRESIDENT
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Name | DR. OLIVER MOORE
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Credential | DNP, PMHNP-BC
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Telephone | 267-804-1575
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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