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NPI Code Detail

MEDICARE: ROBERT MOORE

MEDICARE:   ROBERT  MOORE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1093673444
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROBERT MOORE
Provider Business Mailing Address
First Line : 3515 BOUDINOT AVE
Second Line :
City : CINCINNATI
State : OH
Zip : 45211-5725
Country : US
Telephone Number : 513-225-0359
Fax Number :
Provider Business Practice Location Address
First Line : 1435 VINE ST
Second Line :
City : CINCINNATI
State : OH
Zip : 45202-8005
Country : US
Telephone Number : 513-233-7847
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/14/2026
Last Update Date : 01/14/2026

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Directions to “ ROBERT MOORE ” Practice Location

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