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General NPI Number Information
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NPI Number | 1114130879
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Entity Type | Individual
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Provider Name | ALLAN W MOSKOWITZ D.C., C.F.P.
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Gender | Male
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Dates
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Enumeration Date | 05/08/2007
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Last Update Date | 06/22/2012
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Provider Practice Location Address
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Address Line | 4206 LEAD AVE SE
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City | ALBUQUERQUE
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State | NM
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Zip | 87108-2707
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Country | US
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Telephone | 510-215-6700
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Fax |
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Provider Business Mailing Address
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Address Line | 2606 VALE RD
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City | SAN PABLO
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State | CA
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Zip | 94806-3816
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Country | US
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Telephone | 510-215-6700
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 585
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License Number State | NM
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