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General NPI Number Information
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NPI Number | 1124542329
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Entity Type | Individual
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Provider Name | KAYLA LAUREN MOSES PA-C
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Gender | Female
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Dates
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Enumeration Date | 07/28/2017
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Last Update Date | 12/09/2025
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Provider Practice Location Address
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Address Line | 4410 REGENT ST
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City | MADISON
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State | WI
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Zip | 53705-4901
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Country | US
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Telephone | 608-233-9746
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Fax | 608-233-0026
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Provider Business Mailing Address
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Address Line | 112 HELEN ST
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City | SAUK CITY
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State | WI
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Zip | 53583-1168
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Country | US
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Telephone | 608-643-3351
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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