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General NPI Number Information
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NPI Number | 1083132369
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Entity Type | Individual
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Provider Name | COURTNEY LYNN MOSLEY NP
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Gender | Female
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Dates
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Enumeration Date | 09/06/2017
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Last Update Date | 09/13/2023
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Provider Practice Location Address
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Address Line | 114 NATIONWIDE DR
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City | LYNCHBURG
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State | VA
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Zip | 24502-4271
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Country | US
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Telephone | 434-239-7890
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Fax |
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Provider Business Mailing Address
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Address Line | MADIGAN ARMY MEDICAL CENTER 9040 JACKSON AVE ATTN: MCHJ-CLQ-C
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City | TACOMA
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State | WA
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Zip | 98431-1100
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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 | 163WM0102X
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Taxonomy Name | Maternal Newborn Registered Nurse
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License Number | 0001259170
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 163WM0102X
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Taxonomy Name | Maternal Newborn Registered Nurse
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License Number | 60769375
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License Number State | WA
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 0024188104
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License Number State | VA
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