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General NPI Number Information
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NPI Number | 1396698759
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Entity Type | Individual
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Provider Name | SANDRA MOISE RN
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Gender | Female
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Dates
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Enumeration Date | 02/17/2026
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Last Update Date | 02/17/2026
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Provider Practice Location Address
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Address Line | 1560 BENEVENTO ST
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City | SAINT CLOUD
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State | FL
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Zip | 34771-8034
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Country | US
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Telephone | 321-402-6698
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Fax |
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Provider Business Mailing Address
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Address Line | 15350 SW 50TH AVENUE RD
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City | OCALA
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State | FL
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Zip | 34473-5013
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Country | US
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Telephone | 321-402-6698
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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 | 163WP0809X
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Taxonomy Name | Adult Psychiatric/Mental Health Registered Nurse
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License Number | RN9354749
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License Number State | FL
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