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General NPI Number Information
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NPI Number | 1144094152
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Entity Type | Individual
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Provider Name | MS. TALYNDRIA MOSLEY
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Gender | Female
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Dates
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Enumeration Date | 11/09/2023
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Last Update Date | 11/09/2023
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Provider Practice Location Address
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Address Line | 120 LATHAM DR
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City | WARNER ROBINS
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State | GA
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Zip | 31088-2146
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Country | US
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Telephone | 478-209-2945
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Fax |
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Provider Business Mailing Address
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Address Line | 141 HAWKS RIDGE TRCE
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City | BYRON
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State | GA
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Zip | 31008-5673
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Country | US
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Telephone | 478-361-5354
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | OTA002405
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License Number State | GA
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