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General NPI Number Information
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NPI Number | 1851450159
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Entity Type | Individual
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Provider Name | DENISE EVETTE MOZONE MARSHALL DNP,APRN,CPNP-PC
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Gender | Female
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Dates
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Enumeration Date | 12/06/2006
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Last Update Date | 10/07/2024
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Provider Practice Location Address
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Address Line | 76 NEW BRITAIN AVE
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City | HARTFORD
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State | CT
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Zip | 06106-3305
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Country | US
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Telephone | 860-545-9300
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Fax |
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Provider Business Mailing Address
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Address Line | 1236 CLAIRE ST
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City | LANTANA
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State | TX
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Zip | 76226-5537
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Country | US
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Telephone | 972-302-3422
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 113086
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | AP5053
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License Number State | AZ
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Taxonomy #3
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Taxonomy Code | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | 13966
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License Number State | CT
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