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General NPI Number Information
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NPI Number | 1396203295
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Entity Type | Organization
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Legal Business Name | THE MOSES GROUP, LLC
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Dates
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Enumeration Date | 03/10/2019
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Last Update Date | 05/16/2025
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Provider Practice Location Address
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Address Line | 98-1247 KAAHUMANU ST STE 322
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City | AIEA
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State | HI
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Zip | 96701-5301
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Country | US
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Telephone | 808-782-1113
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Fax | 808-356-0966
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Provider Business Mailing Address
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Address Line | 98-1247 KAAHUMANU ST STE 116
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City | AIEA
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State | HI
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Zip | 96701-5300
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Country | US
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Telephone | 808-762-0911
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Fax | 808-299-1389
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Authorized Official
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Title or Position | MANAGING PARTNER
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Name | MR. JOHN PAUL MOSES III
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Credential | APRN
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Telephone | 808-762-0911
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207QA0401X
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Taxonomy Name | Addiction Medicine (Family Medicine) Physician
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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 | 261QX0100X
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Taxonomy Name | Occupational Medicine Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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