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General NPI Number Information
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NPI Number | 1730858226
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Entity Type | Individual
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Provider Name | WHITNEY MOODY NP
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Gender | Female
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Dates
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Enumeration Date | 09/08/2021
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Last Update Date | 09/16/2021
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Provider Practice Location Address
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Address Line | 1510 HEBRON RD
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City | HENDERSONVILLE
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State | NC
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Zip | 28739-4794
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Country | US
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Telephone | 828-693-8461
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Fax |
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Provider Business Mailing Address
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Address Line | 880 UPPER GLADY FORK RD
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City | CANDLER
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State | NC
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Zip | 28715-9145
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Country | US
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Telephone | 828-337-4271
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | MOOD-KCJ61
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 5015013
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License Number State | NC
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