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General NPI Number Information
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NPI Number | 1730874405
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Entity Type | Individual
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Provider Name | ALEXANDER PATRICK MOORE DO
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Gender | Male
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Dates
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Enumeration Date | 04/10/2023
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Last Update Date | 11/12/2025
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Provider Practice Location Address
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Address Line | 1325 N RACE ST
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City | GLASGOW
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State | KY
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Zip | 42141-3427
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Country | US
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Telephone | 270-651-4797
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1056
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City | WESTVIEW
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State | KY
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Zip | 40178-1056
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Country | US
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Telephone | 270-617-2324
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 06163
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License Number State | KY
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