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General NPI Number Information
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NPI Number | 1326845488
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Entity Type | Individual
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Provider Name | YEYMY MOATS FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 02/26/2025
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Last Update Date | 05/06/2025
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Provider Practice Location Address
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Address Line | 911 HAY ST
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City | FAYETTEVILLE
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State | NC
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Zip | 28305-5313
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Country | US
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Telephone | 910-486-6818
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 187
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City | FAISON
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State | NC
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Zip | 28341-0187
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Country | US
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Telephone | 910-267-2042
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Fax | 855-996-9090
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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 | 5021691
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 5021691
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License Number State | NC
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