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General NPI Number Information
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NPI Number | 1215213970
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Entity Type | Individual
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Provider Name | KRISTIN MICHELLE MOOSE RN, FNP
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Gender | Female
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Dates
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Enumeration Date | 10/26/2011
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Last Update Date | 10/26/2011
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Provider Practice Location Address
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Address Line | 2409 W ILLINOIS AVE
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City | MIDLAND
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State | TX
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Zip | 79701-6307
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Country | US
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Telephone | 432-620-8687
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Fax |
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Provider Business Mailing Address
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Address Line | 4609 HILLTOP DR
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City | MIDLAND
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State | TX
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Zip | 79707-2644
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Country | US
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Telephone | 432-599-0556
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 709654
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License Number State | TX
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