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General NPI Number Information
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NPI Number | 1174689871
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Entity Type | Organization
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Legal Business Name | MICHAEL N MOSKOWITZ DC PA
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Dates
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Enumeration Date | 12/28/2006
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Last Update Date | 12/27/2007
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Provider Practice Location Address
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Address Line | 5415 WEST CEDAR LANE SUITE 105B
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City | BETHESDA
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State | MD
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Zip | 20814-1515
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Country | US
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Telephone | 301-530-0802
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Fax | 301-530-1787
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Provider Business Mailing Address
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Address Line | 5415 WEST CEDAR LANE SUITE 105B
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City | BETHESDA
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State | MD
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Zip | 20814-1515
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Country | US
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Telephone | 301-530-0802
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Fax | 301-530-1787
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MICHAEL NATHAN MOSKOWITZ
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Credential | DC
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Telephone | 301-530-0802
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 01304
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 01304
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License Number State | MD
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