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Individual
EUGENE F MOORE
Active
Individual
EUGENE F MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
042010189
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00058101
BS
VT
01
—
00058102
BS
VT
05
—
OVN2573
—
VT
Enumeration date
04/11/2006
Last updated
02/25/2010
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