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Individual
DEBBIE LYNN MOULAVI
Active
Individual
DEBBIE LYNN MOULAVI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP C
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1498402
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1073505459
MEDICARE NPI
—
05
—
302942500
—
FL
01
—
Y8233
B/C B/S FL
—
01
—
Y8233Y
PTAN
FL
01
—
Y8233Z
PTAN
FL
Enumeration date
08/22/2005
Last updated
01/06/2012
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