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General NPI Number Information
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NPI Number | 1083634844
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Entity Type | Organization
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Legal Business Name | DAVID P MOSCH DO PA
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Dates
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Enumeration Date | 07/21/2006
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Last Update Date | 05/29/2008
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Provider Practice Location Address
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Address Line | 100 ALEXANDRIA BLVD SUITE 1
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City | OVIEDO
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State | FL
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Zip | 32765-8298
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Country | US
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Telephone | 407-359-7997
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Fax | 407-359-6662
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Provider Business Mailing Address
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Address Line | 100 ALEXANDRIA BLVD SUITE 1
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City | OVIEDO
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State | FL
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Zip | 32765-8298
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Country | US
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Telephone | 407-359-7997
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Fax | 407-359-6662
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Authorized Official
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Title or Position | PRESIDENT
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Name | DAVID P MOSCH
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Credential | DO
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Telephone | 407-359-7997
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | OS5746
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License Number State | FL
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