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General NPI Number Information
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NPI Number | 1841531647
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Entity Type | Individual
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Provider Name | DAVID SCOTT MORAN FNP-C
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Gender | Male
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Dates
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Enumeration Date | 03/05/2013
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Last Update Date | 07/10/2025
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Provider Practice Location Address
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Address Line | 810 SIXTH AVE
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City | SANDPOINT
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State | ID
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Zip | 83864-5396
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Country | US
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Telephone | 931-622-5901
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Fax | 208-263-7198
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Provider Business Mailing Address
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Address Line | 810 SIXTH AVE
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City | SANDPOINT
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State | ID
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Zip | 83864-5396
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Country | US
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Telephone | 931-622-5901
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Fax | 208-263-7198
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | AP20569
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | C-APN.0000931-C-NP
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License Number State | CO
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 67431
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License Number State | ID
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