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General NPI Number Information
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NPI Number | 1619330719
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Entity Type | Individual
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Provider Name | ZACHARY DAVIS MOORE M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/05/2016
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Last Update Date | 05/03/2024
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Provider Practice Location Address
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Address Line | 7938 AL HIGHWAY 69 STE 100
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City | GUNTERSVILLE
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State | AL
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Zip | 35976-7135
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Country | US
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Telephone | 256-539-2728
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Fax |
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Provider Business Mailing Address
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Address Line | 927 FRANKLIN ST SE
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City | HUNTSVILLE
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State | AL
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Zip | 35801-4306
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Country | US
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Telephone | 256-539-2728
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Fax | 256-539-2666
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | MD.36773
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 207XX0005X
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Taxonomy Name | Sports Medicine (Orthopaedic Surgery) Physician
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License Number | MD.36773
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License Number State | AL
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