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General NPI Number Information
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NPI Number | 1497840409
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Entity Type | Individual
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Provider Name | PAUL HENRY MOSER MD
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Gender | Male
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Dates
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Enumeration Date | 10/04/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 4650 PALM AVE
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City | SAN DIEGO
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State | CA
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Zip | 92154-8404
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Country | US
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Telephone | 619-662-5416
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Fax | 619-662-5412
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Provider Business Mailing Address
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Address Line | 11949 NAVAJA LN
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City | EL CAJON
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State | CA
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Zip | 92020-8336
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Country | US
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Telephone | 619-579-1684
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Fax | 619-662-5412
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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 | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | C-43316
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License Number State | CA
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