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General NPI Number Information
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NPI Number | 1922957489
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Entity Type | Individual
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Provider Name | CANDACE MIZE
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Gender | Female
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Dates
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Enumeration Date | 01/27/2026
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Last Update Date | 01/27/2026
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Provider Practice Location Address
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Address Line | 800 STATE HIGHWAY 248
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City | BRANSON
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State | MO
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Zip | 65616-3721
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Country | US
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Telephone | 417-553-1197
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Fax |
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Provider Business Mailing Address
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Address Line | 19418 HIGHWAY Y
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City | WILLOW SPRINGS
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State | MO
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Zip | 65793-8996
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Country | US
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Telephone |
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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 | 236279
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License Number State | AR
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