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General NPI Number Information
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NPI Number | 1033651963
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Entity Type | Individual
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Provider Name | THOMAS MOSKOWITZ
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Gender | Male
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Dates
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Enumeration Date | 11/09/2016
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Last Update Date | 11/09/2016
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Provider Practice Location Address
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Address Line | 1848 SE 1ST AVE
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City | FORT LAUDERDALE
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State | FL
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Zip | 33316-2875
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Country | US
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Telephone | 954-885-9500
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Fax |
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Provider Business Mailing Address
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Address Line | 2950 NE 188TH ST #107
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City | AVENTURA
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State | FL
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Zip | 33180-2708
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Country | US
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Telephone | 954-885-9500
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PY4821
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License Number State | FL
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