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Individual
MRS. CYNTHIA L MOORE
Active
Individual
MRS. CYNTHIA L MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
RN200257
MA
363LP0200X
Pediatric Nurse Practitioner
Primary
200257
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
702234
—
MA
01
—
NP3279
BLUE CROSS
MA
Enumeration date
03/22/2006
Last updated
09/27/2013
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