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General NPI Number Information
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NPI Number | 1417166067
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Entity Type | Individual
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Provider Name | NILIMA REDDY MOSALY MD
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Gender | Female
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Dates
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Enumeration Date | 05/21/2007
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Last Update Date | 04/19/2024
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Provider Practice Location Address
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Address Line | 2310 ERWIN RD
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City | DURHAM
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State | NC
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Zip | 27710-8710
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Country | US
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Telephone | 984-209-3773
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Fax |
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Provider Business Mailing Address
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Address Line | 2310 ERWIN RD
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City | DURHAM
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State | NC
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Zip | 27704-0001
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Country | US
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Telephone | 984-209-3773
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 4301086554
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 10-00439
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License Number State | NC
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