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General NPI Number Information
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NPI Number | 1205807682
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Entity Type | Individual
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Provider Name | ANDREA B MOSES DC
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Gender | Female
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Dates
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Enumeration Date | 02/01/2006
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Last Update Date | 12/03/2012
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Provider Practice Location Address
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Address Line | 3105 LIMESTONE RD SUITE 303
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City | WILMINGTON
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State | DE
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Zip | 19808-2147
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Country | US
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Telephone | 302-993-9113
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Fax | 302-993-0313
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Provider Business Mailing Address
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Address Line | 3105 LIMESTONE RD SUITE 303
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City | WILMINGTON
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State | DE
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Zip | 19808-2147
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Country | US
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Telephone | 302-993-9113
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Fax | 302-993-0313
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | F10000425
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License Number State | DE
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