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General NPI Number Information
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NPI Number | 1033448345
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Entity Type | Individual
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Provider Name | RENAE MOREL FNP
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Gender | Female
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Dates
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Enumeration Date | 12/15/2009
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Last Update Date | 01/03/2025
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Provider Practice Location Address
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Address Line | 2969 CURRAN DR N BLDG A
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City | JACKSON
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State | MS
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Zip | 39216-4121
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Country | US
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Telephone | 601-714-8141
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Fax |
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Provider Business Mailing Address
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Address Line | 113 CAMELLIA CIR
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City | FLORENCE
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State | MS
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Zip | 39073-8632
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Country | US
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Telephone | 719-285-5556
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 905886
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License Number State | MS
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APN0010152NP
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License Number State | CO
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Taxonomy #3
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 905886
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License Number State | MS
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