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General NPI Number Information
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NPI Number | 1699898957
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Entity Type | Individual
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Provider Name | SHIRLEY A MOYE
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Gender | Female
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Dates
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Enumeration Date | 04/09/2007
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Last Update Date | 11/08/2026
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Provider Practice Location Address
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Address Line | 1102 SMITH AVE
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City | THOMASVILLE
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State | GA
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Zip | 31792-5739
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Country | US
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Telephone | 229-225-4335
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Fax | 229-225-4374
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Provider Business Mailing Address
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Address Line | 3345 MOUNT ZION CHURCH RD
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City | PELHAM
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State | GA
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Zip | 31779-5219
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Country | US
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Telephone | 229-336-8606
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN035551
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License Number State | GA
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