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General NPI Number Information
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NPI Number | 1528590502
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Entity Type | Individual
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Provider Name | MRS. MISTY MARIE MORENO
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Gender | Female
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Dates
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Enumeration Date | 03/30/2017
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Last Update Date | 06/27/2017
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Provider Practice Location Address
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Address Line | 1 CHILDRENS WAY SLOT 203
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City | LITTLE ROCK
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State | AR
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Zip | 72202-3500
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Country | US
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Telephone | 501-364-2938
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Fax | 501-364-2939
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Provider Business Mailing Address
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Address Line | 1 CHILDREN'S WAY #653
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City | LITTLE ROCK
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State | AR
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Zip | 72202-5061
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Country | US
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Telephone | 501-364-1100
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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 | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | PENDING
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License Number State | AR
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