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1164764593
MICHAEL MOORE
FAIRFAX, VA
NPI
1164764593
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: VA 0101262480)
Enumeration Date
2013-03-24
Last Update Date
2023-11-27
Business Address
MICHAEL MOORE MD
8221 WILLOW OAKS CORPORATE DR STE 4-425
FAIRFAX, VA 22031-4512
Phone number: 703-289-7599
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Mailing Address
MICHAEL MOORE MD
8221 WILLOW OAKS CORPORATE DR STE 4-425
FAIRFAX, VA 22031-4512
Phone number: 703-289-7599
Copy
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