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General NPI Number Information
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NPI Number | 1366689333
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Entity Type | Individual
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Provider Name | DEBRA LYNN MOORE CNP, CNM
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Gender | Female
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Dates
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Enumeration Date | 01/13/2009
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Last Update Date | 03/13/2009
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Provider Practice Location Address
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Address Line | 1917 S MAIN ST
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City | FINDLAY
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State | OH
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Zip | 45840-1208
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Country | US
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Telephone | 419-420-0904
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Fax | 419-420-1893
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Provider Business Mailing Address
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Address Line | 1917 S MAIN ST
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City | FINDLAY
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State | OH
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Zip | 45840-1208
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Country | US
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Telephone | 419-420-0904
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Fax | 419-420-1893
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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 | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | 10482-NP
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 367A00000X
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Taxonomy Name | Advanced Practice Midwife
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License Number | 10397-NM
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License Number State | OH
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