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General NPI Number Information
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NPI Number | 1659375319
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Entity Type | Individual
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Provider Name | MATTHEW CHARLES MOELLER D.D.S.
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Gender | Male
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Dates
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Enumeration Date | 06/10/2005
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 3965 N MERIDIAN ST STE 1D
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City | INDIANAPOLIS
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State | IN
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Zip | 46208-4044
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Country | US
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Telephone | 317-679-0343
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Fax |
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Provider Business Mailing Address
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Address Line | 7854 CLEARWATER COVE DR
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City | INDIANAPOLIS
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State | IN
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Zip | 46240-4900
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Country | US
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Telephone | 317-679-0343
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Fax |
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 12008713
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License Number State | IN
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