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General NPI Number Information
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NPI Number | 1346117660
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Entity Type | Individual
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Provider Name | STEPHANIE MOSLEY LPN
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Gender | Female
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Dates
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Enumeration Date | 10/21/2025
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Last Update Date | 10/21/2025
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Provider Practice Location Address
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Address Line | 729 6TH ST
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City | PORTSMOUTH
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State | OH
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Zip | 45662-4030
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Country | US
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Telephone | 740-876-8290
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Fax | 740-529-1205
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Provider Business Mailing Address
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Address Line | 1225 MAIN ST
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City | WEST PORTSMOUTH
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State | OH
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Zip | 45663-5977
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Country | US
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Telephone | 740-935-9319
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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 | 164W00000X
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Taxonomy Name | Licensed Practical Nurse
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License Number | LPN.181591.MEDS-IV
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License Number State | OH
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