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General NPI Number Information
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NPI Number | 1487035770
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Entity Type | Individual
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Provider Name | JOSHUA A. MOUSHON APRN
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Gender | Male
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Dates
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Enumeration Date | 06/12/2015
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Last Update Date | 06/28/2025
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Provider Practice Location Address
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Address Line | 1120 S UTICA AVE
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City | TULSA
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State | OK
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Zip | 74104-4012
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Country | US
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Telephone | 918-579-1000
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Fax | 918-582-6549
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Provider Business Mailing Address
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Address Line | 1145 S UTICA AVE SUITE 110
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City | TULSA
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State | OK
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Zip | 74104-4000
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Country | US
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Telephone | 918-579-3826
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Fax | 918-579-1262
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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 | 363LC0200X
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Taxonomy Name | Critical Care Medicine Nurse Practitioner
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License Number | 88008
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License Number State | OK
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Taxonomy #2
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 88008
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License Number State | OK
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