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General NPI Number Information
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NPI Number | 1699375360
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Entity Type | Individual
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Provider Name | ERIN ROSA MOORE-PRESTON RTR
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Gender | Female
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Dates
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Enumeration Date | 10/30/2020
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Last Update Date | 10/30/2020
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Provider Practice Location Address
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Address Line | US ARMY MEDICAL ACTIVITY- BAVARIA UNIT 28038
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City | APO
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State | AE
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Zip | 09112
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Country | US
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Telephone | 637-194-6439
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Fax |
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Provider Business Mailing Address
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Address Line | US ARMY MEDICAL ACTIVITY-BAVARIA UNIT 28038
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City | APO
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State | AE
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Zip | 09112
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Country | US
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Telephone |
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 463970
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License Number State | PA
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