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General NPI Number Information
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NPI Number | 1184627721
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Entity Type | Individual
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Provider Name | LONNIE J MOSKOW M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/27/2005
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Last Update Date | 03/17/2025
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Provider Practice Location Address
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Address Line | 24331 EL TORO RD STE 200
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City | LAGUNA WOODS
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State | CA
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Zip | 92637-3116
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Country | US
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Telephone | 949-586-3200
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Fax | 949-900-2136
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Provider Business Mailing Address
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Address Line | 24331 EL TORO RD STE 200
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City | LAGUNA WOODS
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State | CA
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Zip | 92637-3116
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Country | US
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Telephone | 949-586-3200
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Fax | 949-900-2136
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | G65811
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | G65811
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 207XS0106X
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Taxonomy Name | Orthopaedic Hand Surgery Physician
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License Number | G65811
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License Number State | CA
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