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General NPI Number Information
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NPI Number | 1194976068
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Entity Type | Organization
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Legal Business Name | MOISE JOSEPH, MD, INC
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Dates
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Enumeration Date | 10/09/2008
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Last Update Date | 10/09/2008
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Provider Practice Location Address
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Address Line | 5338 N RATTLER CT
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City | LITCHFIELD PARK
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State | AZ
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Zip | 85340-4164
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Country | US
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Telephone | 602-321-1437
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Fax | 623-215-7205
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Provider Business Mailing Address
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Address Line | 10928 W LAWRENCE LN
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City | PEORIA
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State | AZ
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Zip | 85345-2940
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Country | US
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Telephone | 623-374-4447
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Fax | 623-374-4447
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Authorized Official
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Title or Position | PSYCHIATRIST
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Name | DR. MOISE JOSEPH
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Credential | MD
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Telephone | 602-321-1437
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 323P00000X
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Taxonomy Name | Psychiatric Residential Treatment Facility
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License Number | 33517
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License Number State | AZ
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