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General NPI Number Information
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NPI Number | 1871358648
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Entity Type | Individual
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Provider Name | CYDNEY MOORE DPT
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Gender | Female
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Dates
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Enumeration Date | 02/20/2024
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Last Update Date | 02/20/2024
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Provider Practice Location Address
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Address Line | 1834 GEORGE AVE
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City | ANNAPOLIS
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State | MD
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Zip | 21401-4103
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Country | US
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Telephone | 443-441-0631
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Fax |
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Provider Business Mailing Address
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Address Line | 407 IDLEOAK CT
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City | SEVERNA PARK
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State | MD
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Zip | 21146-1669
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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 | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number | 29843
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License Number State | MD
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