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General NPI Number Information
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NPI Number | 1609978519
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Entity Type | Individual
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Provider Name | VICKI ANNE MOORE M.D.
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Gender | Female
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Dates
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Enumeration Date | 09/01/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 2050 RACE ST
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City | DENVER
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State | CO
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Zip | 80205-5636
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Country | US
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Telephone | 303-520-4730
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Fax | 303-377-5220
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Provider Business Mailing Address
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Address Line | PO BOX 202951
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City | DENVER
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State | CO
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Zip | 80220-8951
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Country | US
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Telephone | 303-520-4730
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Fax | 303-377-5220
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 34981
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License Number State | CO
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