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General NPI Number Information
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NPI Number | 1992638381
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Entity Type | Individual
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Provider Name | HAYLEE MOORE APRN
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Gender |
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Dates
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Enumeration Date | 06/04/2026
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Last Update Date | 06/04/2026
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Provider Practice Location Address
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Address Line | 3901 PARKWAY CIR STE 550
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City | SPRINGDALE
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State | AR
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Zip | 72762-6362
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Country | US
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Telephone | 479-346-1850
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Fax |
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Provider Business Mailing Address
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Address Line | 3769 PINECREST ST
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City | SPRINGDALE
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State | AR
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Zip | 72764-3266
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Country | US
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Telephone | 479-883-3086
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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 | 219578
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License Number State | AR
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