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General NPI Number Information
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NPI Number | 1548170368
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Entity Type | Individual
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Provider Name | SKYLAR DOMINIQUE MOSHER CPC INTERN
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Gender | Female
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Dates
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Enumeration Date | 09/11/2026
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Last Update Date | 09/11/2026
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Provider Practice Location Address
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Address Line | 4880 W UNIVERSITY AVE STE B2
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City | LAS VEGAS
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State | NV
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Zip | 89103-3830
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Country | US
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Telephone | 702-660-5943
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Fax |
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Provider Business Mailing Address
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Address Line | 7772 JACARANDA HILL CT
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City | LAS VEGAS
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State | NV
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Zip | 89139-6261
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Country | US
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Telephone |
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | CI5848
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License Number State | NV
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