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General NPI Number Information
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NPI Number | 1407876873
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Entity Type | Individual
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Provider Name | SANDRA MORENO-CHRISTIANSEN BSN, WHNP
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Gender | Female
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Dates
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Enumeration Date | 07/20/2006
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Last Update Date | 10/01/2014
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Provider Practice Location Address
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Address Line | 3320 LIVE OAK ST 5TH FLOOR
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City | DALLAS
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State | TX
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Zip | 75204-6109
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Country | US
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Telephone | 214-266-1200
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Fax |
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Provider Business Mailing Address
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Address Line | 1620 HURON TRL
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City | PLANO
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State | TX
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Zip | 75075-6708
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Country | US
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Telephone | 972-841-2104
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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 | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | 244159
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License Number State | TX
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