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General NPI Number Information
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NPI Number | 1164789459
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Entity Type | Organization
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Legal Business Name | JOSEPH MOZA, MD, INC
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Dates
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Enumeration Date | 04/12/2012
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Last Update Date | 07/13/2023
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Provider Practice Location Address
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Address Line | 28 EBB TIDE CIR
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City | NEWPORT BEACH
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State | CA
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Zip | 92663-2842
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Country | US
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Telephone | 760-370-0209
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2333
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City | NEWPORT BEACH
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State | CA
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Zip | 92659-1333
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Country | US
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Telephone | 559-281-1024
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JOSEPH MOZA
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Credential | MD
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Telephone | 760-326-7279
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | A 44933
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License Number State | CA
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