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General NPI Number Information
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NPI Number | 1477145746
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Entity Type | Individual
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Provider Name | ANNE RITCHIE MOISE
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Gender | Female
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Dates
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Enumeration Date | 02/08/2021
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Last Update Date | 05/30/2023
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Provider Practice Location Address
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Address Line | 4966 N PINE ISLAND RD
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City | SUNRISE
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State | FL
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Zip | 33351-5314
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Country | US
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Telephone | 561-931-3941
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Fax |
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Provider Business Mailing Address
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Address Line | 8742 NW 5TH PL
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City | CORAL SPRINGS
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State | FL
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Zip | 33071-7165
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Country | US
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Telephone | 954-245-5207
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | APRN11010510
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | APRN11010510
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License Number State | FL
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