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Individual
ROBERT STROUD MOORE
Active
Individual
ROBERT STROUD MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA-CCC-A
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
A2092
MS
237700000X
Hearing Instrument Specialist
HA0470
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00770235
—
MS
Enumeration date
07/28/2006
Last updated
04/10/2017
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