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General NPI Number Information
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NPI Number | 1417530221
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Entity Type | Individual
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Provider Name | DERRICK JOSEPH MOSS
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Gender | Male
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Dates
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Enumeration Date | 04/29/2021
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Last Update Date | 04/29/2021
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Provider Practice Location Address
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Address Line | 4646 JOHN R ST
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City | DETROIT
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State | MI
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Zip | 48201-1916
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Country | US
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Telephone | 313-204-1949
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Fax | 313-576-3703
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Provider Business Mailing Address
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Address Line | 19482 LENNANE
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City | REDFORD
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State | MI
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Zip | 48240-1349
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Country | US
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Telephone | 313-204-1949
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Fax | 313-576-3703
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 6801105045
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License Number State | MI
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