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General NPI Number Information
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NPI Number | 1528130457
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Entity Type | Individual
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Provider Name | PAULA JAYNE MOORE R.N.CNS
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Gender | Female
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Dates
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Enumeration Date | 11/15/2006
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Last Update Date | 01/11/2021
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Provider Practice Location Address
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Address Line | 433 WEST ST STE 5
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City | AMHERST
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State | MA
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Zip | 01002-2936
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Country | US
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Telephone | 413-570-0746
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Fax | 413-256-6476
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Provider Business Mailing Address
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Address Line | 785 WENDELL RD
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City | SHUTESBURY
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State | MA
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Zip | 01072-9733
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Country | US
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Telephone | 413-570-0746
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Fax | 413-256-6476
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 142836
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License Number State | MA
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