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General NPI Number Information
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NPI Number | 1649909102
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Entity Type | Individual
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Provider Name | ALYSSA NICOLE HILDT MOXLEY
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Gender | Female
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Dates
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Enumeration Date | 06/08/2022
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Last Update Date | 07/09/2024
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Provider Practice Location Address
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Address Line | 517 ROSE ST
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City | LAS VEGAS
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State | NV
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Zip | 89106-4020
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Country | US
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Telephone | 702-438-4692
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Fax | 702-485-2372
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Provider Business Mailing Address
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Address Line | 8906 SPANISH RIDGE AVE STE 202
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City | LAS VEGAS
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State | NV
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Zip | 89148-1319
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Country | US
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Telephone | 702-330-3102
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Fax | 702-912-4994
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 11770631-3102
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License Number State | UT
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 875147
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License Number State | NV
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Taxonomy #3
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 95326282
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 875147
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License Number State | NV
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Taxonomy #5
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Taxonomy Code | 367A00000X
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Taxonomy Name | Advanced Practice Midwife
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License Number | NMW236376
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License Number State | CA
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Taxonomy #6
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | NP95027659
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License Number State | CA
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Taxonomy #7
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Taxonomy Code | 367A00000X
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Taxonomy Name | Advanced Practice Midwife
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License Number | 875147
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License Number State | NV
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