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General NPI Number Information
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NPI Number | 1477472868
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Entity Type | Individual
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Provider Name | MAJOR MOSS
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Gender | Male
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Dates
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Enumeration Date | 07/10/2026
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Last Update Date | 07/10/2026
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Provider Practice Location Address
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Address Line | 620 MAIN ST
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City | YOUNG HARRIS
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State | GA
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Zip | 30582-4118
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Country | US
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Telephone | 706-379-6677
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Fax |
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Provider Business Mailing Address
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Address Line | 1550 MOSSY OAK DR
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City | HIAWASSEE
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State | GA
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Zip | 30546-1932
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Country | US
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Telephone | 706-970-0727
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | DN124228
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License Number State | GA
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