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General NPI Number Information
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NPI Number | 1336403989
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Entity Type | Organization
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Legal Business Name | GREGG F. MOSES DC PA
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Dates
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Enumeration Date | 06/28/2012
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Last Update Date | 06/28/2012
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Provider Practice Location Address
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Address Line | 1800 FOREST HILL BLVD A8-10
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City | WEST PALM BEACH
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State | FL
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Zip | 33406-6094
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Country | US
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Telephone | 561-641-9211
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Fax | 561-641-2188
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Provider Business Mailing Address
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Address Line | 1800 FOREST HILL BLVD A8-10
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City | WEST PALM BEACH
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State | FL
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Zip | 33406-6094
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Country | US
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Telephone | 561-641-9211
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Fax | 561-641-2188
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Authorized Official
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Title or Position | OWNER PRESIDENT
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Name | DR. GREGG FOREST MOSES
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Credential | DC
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Telephone | 561-641-9211
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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 | CH00005949
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License Number State | FL
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