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General NPI Number Information
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NPI Number | 1548232432
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Entity Type | Individual
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Provider Name | ROBERT L MOSS MD
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Gender | Male
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Dates
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Enumeration Date | 02/03/2006
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Last Update Date | 01/14/2015
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Provider Practice Location Address
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Address Line | 2 NEWCOMB TER UNIT A
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City | WICHITA FALLS
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State | TX
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Zip | 76308-2220
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Country | US
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Telephone | 940-224-4228
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Fax |
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Provider Business Mailing Address
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Address Line | 2 NEWCOMB TER UNIT A
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City | WICHITA FALLS
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State | TX
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Zip | 76308-2220
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Country | US
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Telephone | 940-224-4228
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | F0595
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 129702
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | DR-45862
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License Number State | CO
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Taxonomy #4
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 2012005203
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License Number State | MO
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Taxonomy #5
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 2007-00793
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License Number State | NC
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Taxonomy #6
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | MD431239
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License Number State | PA
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