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General NPI Number Information
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NPI Number | 1255847174
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Entity Type | Individual
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Provider Name | JUNE MOSER
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Gender | Female
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Dates
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Enumeration Date | 12/15/2017
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Last Update Date | 12/15/2017
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Provider Practice Location Address
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Address Line | 1601 CONCORD PIKE STE 65
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City | WILMINGTON
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State | DE
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Zip | 19803-3623
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Country | US
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Telephone | 302-652-3558
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Fax |
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Provider Business Mailing Address
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Address Line | 1101 BRICKELL AVE STE N1700
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City | MIAMI
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State | FL
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Zip | 33131-3105
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Country | US
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Telephone | 919-603-1517
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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 | 237700000X
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Taxonomy Name | Hearing Instrument Specialist
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License Number | O3-0000245
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License Number State | DE
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