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General NPI Number Information
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NPI Number | 1356348064
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Entity Type | Individual
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Provider Name | STEVEN HARDING MOSS M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/07/2005
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Last Update Date | 01/28/2008
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Provider Practice Location Address
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Address Line | 11373 CORTEZ BLVD SUITE 301
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City | BROOKSVILLE
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State | FL
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Zip | 34613-5414
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Country | US
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Telephone | 352-597-7091
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Fax |
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Provider Business Mailing Address
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Address Line | 11373 CORTEZ BLVD SUITE 301
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City | BROOKSVILLE
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State | FL
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Zip | 34613-5414
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Country | US
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Telephone | 352-597-7091
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | ME0034432
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 208VP0000X
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Taxonomy Name | Pain Medicine Physician
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License Number | ME0034432
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 207XS0106X
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Taxonomy Name | Orthopaedic Hand Surgery Physician
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License Number | ME0034432
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | ME0034432
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License Number State | FL
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Taxonomy #5
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Taxonomy Code | 2086S0105X
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Taxonomy Name | Surgery of the Hand (Surgery) Physician
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License Number | ME0034432
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License Number State | FL
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