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NPI 1134632698

NPI 1134632698 : FALMA MOSES CNA CMA : JACKSONVILLE, FL

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General NPI Number Information
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    NPI Number           |    1134632698
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    Entity Type          |    Individual 
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    Provider Name        |    FALMA MOSES CNA CMA
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    11/07/2017
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    Last Update Date     |    11/07/2017
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Provider Practice Location Address
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    Address Line         |    5350 ARLINGTON EXPY APT 2611 
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    City                 |    JACKSONVILLE
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    State                |    FL
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    Zip                  |    32211-6875
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    Country              |    US
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    Telephone            |    404-247-4458
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    5350 ARLINGTON EXPY APT 2611 
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    City                 |    JACKSONVILLE
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    State                |    FL
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    Zip                  |    32211-6875
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    Country              |    US
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    Telephone            |    404-247-4458
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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        |    3747P1801X
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    Taxonomy Name        |    Personal Care Attendant
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    374U00000X
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    Taxonomy Name        |    Home Health Aide
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    376K00000X
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    Taxonomy Name        |    Nurse's Aide
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    License Number       |    CNA328432
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    License Number State |    FL
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