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General NPI Number Information
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NPI Number | 1013830371
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Entity Type | Individual
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Provider Name | BRIANA KAY MOORE
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Gender | Female
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Dates
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Enumeration Date | 08/03/2026
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Last Update Date | 08/03/2026
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Provider Practice Location Address
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Address Line | 501 AIRPORT RD
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City | RIFLE
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State | CO
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Zip | 81650-8510
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Country | US
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Telephone | 970-625-1100
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Fax |
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Provider Business Mailing Address
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Address Line | 2585 RIVER TRCE UNIT 204
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City | SILT
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State | CO
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Zip | 81652-8544
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Country | US
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Telephone | 940-781-2980
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WE0003X
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Taxonomy Name | Emergency Registered Nurse
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License Number | RN.1692749
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License Number State | CO
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