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General NPI Number Information
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NPI Number | 1194721944
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Entity Type | Individual
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Provider Name | DOREEN A MOSER D.O.
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Gender | Female
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Dates
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Enumeration Date | 06/27/2005
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Last Update Date | 06/16/2025
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Provider Practice Location Address
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Address Line | 1643 LANCASTER DR STE 204
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City | GRAPEVINE
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State | TX
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Zip | 76051-3501
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Country | US
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Telephone | 817-310-3775
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 200282
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City | DALLAS
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State | TX
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Zip | 75320-0282
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Country | US
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Telephone | 972-616-4000
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Fax | 972-294-3343
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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 | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number | J5186
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207VM0101X
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Taxonomy Name | Maternal & Fetal Medicine Physician
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License Number | J5186
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 207VX0000X
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Taxonomy Name | Obstetrics Physician
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License Number | J5186
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | J5186
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License Number State | TX
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