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General NPI Number Information
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NPI Number | 1679452924
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Entity Type | Individual
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Provider Name | MILES MOORE DPT
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Gender | Male
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Dates
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Enumeration Date | 08/30/2025
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Last Update Date | 08/30/2025
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Provider Practice Location Address
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Address Line | 9305 PINECROFT DR
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City | SPRING
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State | TX
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Zip | 77380-3482
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Country | US
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Telephone | 828-989-4905
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Fax |
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Provider Business Mailing Address
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Address Line | 252 FOREST HILL DR
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City | ASHEVILLE
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State | NC
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Zip | 28803-2406
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Country | US
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Telephone | 828-989-4905
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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 | 2251S0007X
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Taxonomy Name | Sports Physical Therapist
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License Number |
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License Number State |
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