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General NPI Number Information
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NPI Number | 1295821098
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Entity Type | Individual
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Provider Name | JANICE F MORANZ MD
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Gender | Female
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Dates
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Enumeration Date | 10/05/2006
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Last Update Date | 02/16/2023
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Provider Practice Location Address
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Address Line | 5600 EUBANK BLVD NE STE 110
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City | ALBUQUERQUE
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State | NM
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Zip | 87111-1519
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Country | US
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Telephone | 505-880-1920
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Fax | 505-880-1076
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Provider Business Mailing Address
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Address Line | 7300 RANCH ROAD 2222, BLDG 1, STE 200
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City | AUSTIN
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State | TX
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Zip | 78730-3255
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Country | US
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Telephone | 512-759-8932
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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 | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | 8897
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License Number State | NM
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