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General NPI Number Information
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NPI Number | 1992015002
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Entity Type | Individual
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Provider Name | YANIXZA MORALES FNP
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Gender | Female
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Dates
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Enumeration Date | 10/08/2010
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Last Update Date | 02/05/2026
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Provider Practice Location Address
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Address Line | 871 BLOOMING GROVE TPKE
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City | NEW WINDSOR
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State | NY
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Zip | 12553-8148
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Country | US
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Telephone | 716-303-8963
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Fax | 845-314-8864
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Provider Business Mailing Address
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Address Line | 30 WATKINS DR
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City | WALDEN
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State | NY
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Zip | 12586-3405
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Country | US
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Telephone | 845-282-6437
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Fax | 845-314-8864
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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 | F345207-01
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License Number State | NY
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