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General NPI Number Information
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NPI Number | 1841412632
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Entity Type | Individual
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Provider Name | ANNE MOORE
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Gender | Female
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Dates
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Enumeration Date | 05/03/2007
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | 10540 DOTY RD
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City | PICKERINGTON
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State | OH
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Zip | 43147-9448
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Country | US
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Telephone | 614-837-2640
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Fax |
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Provider Business Mailing Address
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Address Line | 6585 YORK RD SW
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City | PATASKALA
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State | OH
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Zip | 43062-8462
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Country | US
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Telephone | 614-264-7375
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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 | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number |
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License Number State |
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