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General NPI Number Information
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NPI Number | 1053519942
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Entity Type | Individual
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Provider Name | BENJAMIN ABRAM MOSES M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/03/2007
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Last Update Date | 05/28/2025
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Provider Practice Location Address
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Address Line | 2331 SEMINOLE LN STE 201
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City | CHARLOTTESVILLE
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State | VA
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Zip | 22901-8319
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Country | US
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Telephone | 434-297-9850
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 9007
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City | CHARLOTTESVILLE
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State | VA
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Zip | 22906-9007
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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 | 207LC0200X
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Taxonomy Name | Critical Care Medicine (Anesthesiology) Physician
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License Number | 0101253188
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | 0101253188
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 0101253188
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License Number State | VA
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