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General NPI Number Information
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NPI Number | 1609374180
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Entity Type | Organization
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Legal Business Name | LEE MOORE, ARNP, PLLC
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Dates
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Enumeration Date | 01/30/2018
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Last Update Date | 02/01/2026
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Provider Practice Location Address
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Address Line | 8401 MAYLAND DR # 8194
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City | RICHMOND
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State | VA
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Zip | 23294-4648
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Country | US
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Telephone | 804-767-5703
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Fax |
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Provider Business Mailing Address
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Address Line | 8401 MAYLAND DR # 8194
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City | RICHMOND
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State | VA
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Zip | 23294-4648
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Country | US
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Telephone | 804-767-5703
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Fax |
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Authorized Official
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Title or Position | MEMBER-MANAGER
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Name | DR. LEE MOORE
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Credential | DNP, APRN, PMHNP-BC
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Telephone | 804-767-5703
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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