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General NPI Number Information
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NPI Number | 1245197268
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Entity Type | Individual
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Provider Name | MIRIAM ODERBERG MOSS MA
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Gender | Female
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Dates
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Enumeration Date | 01/09/2026
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Last Update Date | 01/09/2026
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Provider Practice Location Address
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Address Line | 2002 156TH AVE NE STE 150
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City | BELLEVUE
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State | WA
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Zip | 98007-3828
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Country | US
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Telephone | 360-357-2370
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Fax |
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Provider Business Mailing Address
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Address Line | 1409 NW 195TH ST
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City | SHORELINE
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State | WA
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Zip | 98177-2707
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Country | US
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Telephone | 206-401-4769
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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