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General NPI Number Information
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NPI Number | 1295594133
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Entity Type | Individual
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Provider Name | LILLIAN RUTH MOSER
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Gender | Female
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Dates
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Enumeration Date | 03/14/2024
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Last Update Date | 05/19/2025
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Provider Practice Location Address
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Address Line | 1001 LAWRENCE ST NE
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City | WASHINGTON
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State | DC
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Zip | 20017-3513
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Country | US
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Telephone | 202-635-5966
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Fax |
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Provider Business Mailing Address
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Address Line | 8500 UPPER SKY WAY UNIT 403
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City | LAUREL
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State | MD
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Zip | 20723-5642
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Country | US
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Telephone | 609-828-2194
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LC200002163
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License Number State | DC
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