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General NPI Number Information
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NPI Number | 1922099753
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Entity Type | Organization
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Legal Business Name | DRS GLOVER AND MOORE PC
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Dates
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Enumeration Date | 11/01/2005
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | HOSPITAL DRIVE GLENROCHIE PROFESSIONAL BLDG SUITE 200
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City | ABINGDON
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State | VA
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Zip | 24210
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Country | US
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Telephone | 276-628-6011
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Fax | 276-628-3923
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Provider Business Mailing Address
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Address Line | PO BOX 596
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City | ABINGDON
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State | VA
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Zip | 24212
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Country | US
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Telephone | 276-628-6011
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Fax | 276-628-3923
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JAMES D MOORE JR.
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Credential | MD
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Telephone | 276-628-5711
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 0101235032
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 0101025906
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License Number State | VA
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