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General NPI Number Information
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NPI Number | 1568294874
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Entity Type | Individual
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Provider Name | CRYSTAL MOIO
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Gender | Female
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Dates
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Enumeration Date | 08/15/2024
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Last Update Date | 12/05/2025
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Provider Practice Location Address
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Address Line | 59 S COUNTY COMMONS WAY UNIT H3
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City | WAKEFIELD
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State | RI
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Zip | 02879-8201
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Country | US
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Telephone | 401-783-0084
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Fax | 401-782-0005
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Provider Business Mailing Address
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Address Line | 15 LA SALLE SQ
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City | PROVIDENCE
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State | RI
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Zip | 02903-1814
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Country | US
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Telephone | 401-444-6779
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Fax | 401-444-6912
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APRN04164
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License Number State | RI
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