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General NPI Number Information
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NPI Number | 1841220100
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Entity Type | Individual
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Provider Name | JANEEN M MOORE DDS
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Gender | Female
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Dates
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Enumeration Date | 07/03/2006
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Last Update Date | 12/28/2023
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Provider Practice Location Address
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Address Line | 107 CHARLES E DAVIS BLVD
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City | NASHVILLE
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State | TN
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Zip | 37210-2745
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Country | US
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Telephone | 615-227-3000
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Fax |
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Provider Business Mailing Address
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Address Line | 107 CHARLES E DAVIS BLVD
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City | NASHVILLE
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State | TN
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Zip | 37210-2745
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Country | US
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Telephone | 337-654-9044
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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 | 6009
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License Number State | LA
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 8778
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License Number State | TN
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