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Francesca Brown . Table of Content Additional Information NPI Profile Modification General Information Detailed Information Driving Directions Additional Information You can get information about the owner of the 1508067588 NPI number — TABITHA GRACE MOE M.D. Purchase Medical Data Web Services Crosswalk Services Crosswalk ICD-10 to ICD-9 Crosswalk ICD-9 to ICD-10 1500 Claim Form to EDI CMS Forms Desktop NPI Lookup Lightweight Desktop NPI Lookup Isolated NPI Lookup 1.2 Online Help Validation Services Medical Coding Library NPI Registry ICD-10 Codes ICD-9 Codes NPI Statistics NPI Lookup HCPCS Codes Lookup NDC Lookup ICD10 Codes Lookup NAICS Codes Lookup CLIA Codes Lookup Taxonomy Codes Lookup Medical IT Digest. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section.27Provider License Number State Code 1MOProvider License Number State Code #128Healthcare Provider Primary Taxonomy Switch 1NPrimary Taxonomy: X - The primary taxonomy switch is Not Answered; Y - The taxonomy is the primary taxonomy (there can be only one per NPI record); N - The taxonomy is not the primary taxonomy. Copyright 2004-2016 (Powered by Boost Cluster Engine), all rights reserved. 1508067588 NPI number — TABITHA GRACE MOE M.D. Records indicate that the provider gender is “Female”. Tweet Change Text Size Sign In Documentation Contact Us All Services . Provider Business Mailing Address First Line : 1919 E THOMAS RD Second Line : City : PHOENIX State : AZ Zip : 85016-7710 Country : US Telephone Number : 480-737-4136 Fax Number : Provider Business Practice Location Address First Line : 1919 E THOMAS RD Second Line : City : PHOENIX State : AZ Zip : 85016-7710 Country : US Telephone Number : 480-737-4136 Fax Number : Authorized Official Title or Position : Name : Credential : Telephone Number : Provider Enumeration Date : 05/29/2007 Last Update Date : 08/31/2015 Detailed Information NPI Number 1508067588 has the “Individual” type of ownership and has been registered to the following primary business legal name (which is a provider name or healthcare organization name) — TABITHA GRACE MOE M.D. 1508067588 NPI number — TABITHA GRACE MOE M.D.

This data element may contain the same information as ''Provider location address postal code''.12Provider Business Mailing Address Country CodeUSThe country code in the mailing address of the provider being identified. Alicia Farraday . M. As an individual, a sole proprietorship cannot be a subpart and cannot have subparts. The enumeration date of this NPI Number is 05/29/2007. Driving Directions to “ TABITHA GRACE MOE M.D.” Practice Location. NPI Numer information was last updated at 08/31/2015. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization.25Healthcare Provider Taxonomy 1Internal MedicineHealthcare Provider Taxonomy #126Provider License Number 12009003445Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Lookups SOAP/REST Medicare/Medicaid EIN X-walks 1500 Buy Data Products Lib PT . NPI Profile Modification You are about to modify NPI profile 1508067588.

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