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NPI 1194394726

NPI 1194394726 : JOSHUA ANDREW MOSKAL : EAU CLAIRE, WI

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General NPI Number Information
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    NPI Number           |    1194394726
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    Entity Type          |    Individual 
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    Provider Name        |    JOSHUA ANDREW MOSKAL
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    06/18/2021
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    Last Update Date     |    02/10/2026
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Provider Practice Location Address
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    Address Line         |    1002 W CLAIREMONT AVE 
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    City                 |    EAU CLAIRE
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    State                |    WI
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    Zip                  |    54701-6123
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    Country              |    US
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    Telephone            |    534-200-6165
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1002 W CLAIREMONT AVE 
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    City                 |    EAU CLAIRE
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    State                |    WI
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    Zip                  |    54701-6123
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    Country              |    US
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    Telephone            |    534-200-6165
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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        |    101YM0800X
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    Taxonomy Name        |    Mental Health Counselor
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    License Number       |    12323-125
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    License Number State |    WI
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