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General NPI Number Information
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NPI Number | 1619159431
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Entity Type | Organization
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Legal Business Name | MOORE ORTHOPAEDICS, P.A.
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Dates
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Enumeration Date | 12/04/2007
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Last Update Date | 05/14/2009
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Provider Practice Location Address
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Address Line | 1508 MEDICAL CENTER DR
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City | WILMINGTON
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State | NC
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Zip | 28401-7507
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Country | US
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Telephone | 910-772-9930
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Fax | 910-772-9939
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Provider Business Mailing Address
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Address Line | 1508 MEDICAL CENTER DR
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City | WILMINGTON
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State | NC
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Zip | 28401-7507
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Country | US
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Telephone | 910-772-9930
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Fax | 910-772-9939
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Authorized Official
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Title or Position | OWNER
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Name | DR. ROBERT M MOORE
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Credential |
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Telephone | 910-772-9930
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 25063
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License Number State | NC
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