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General NPI Number Information
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NPI Number | 1285848580
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Entity Type | Individual
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Provider Name | MICHAEL ALAN MOSER PA
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Gender | Male
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Dates
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Enumeration Date | 05/09/2007
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Last Update Date | 05/15/2025
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Provider Practice Location Address
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Address Line | PSC 475 BOX 1948
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City | FPO
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State | AP
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Zip | 96350-9998
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Country | US
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Telephone | 315-243-8774
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Fax |
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Provider Business Mailing Address
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Address Line | 5718 SHETLAND CT
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City | OCEANSIDE
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State | CA
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Zip | 92057-5720
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Country | US
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Telephone | 757-214-7418
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 1108208
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License Number State | CA
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