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NPI 1659332997

NPI 1659332997 : RACHEL L MOORE M.D. : ARVADA, CO

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General NPI Number Information
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    NPI Number           |    1659332997
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    Entity Type          |    Individual 
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    Provider Name        |    RACHEL L MOORE M.D.
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    03/28/2006
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    Last Update Date     |    11/07/2022
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Provider Practice Location Address
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    Address Line         |    9950 W 80TH AVE STE 24 
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    City                 |    ARVADA
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    State                |    CO
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    Zip                  |    80005-3914
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    Country              |    US
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    Telephone            |    303-280-0900
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    Fax                  |    303-280-3858
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Provider Business Mailing Address
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    Address Line         |    9950 W 80TH AVE STE 24 
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    City                 |    ARVADA
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    State                |    CO
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    Zip                  |    80005-3914
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    Country              |    US
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    Telephone            |    303-280-0900
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    Fax                  |    303-280-3858
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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        |    208600000X
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    Taxonomy Name        |    Surgery Physician
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    License Number       |    DR.0069441
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    License Number State |    CO
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