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General NPI Number Information
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NPI Number | 1598505596
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Entity Type | Individual
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Provider Name | E'MARION CUREE MOSLEY
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Gender | Male
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Dates
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Enumeration Date | 05/28/2024
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Last Update Date | 05/28/2024
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Provider Practice Location Address
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Address Line | 5113 S HARPER AVE STE 2C
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City | CHICAGO
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State | IL
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Zip | 60615-4119
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Country | US
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Telephone | 773-322-1909
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Fax |
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Provider Business Mailing Address
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Address Line | 1538 GIRARD AVE APT 4
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City | BOURBONNAIS
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State | IL
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Zip | 60914-4618
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Country | US
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Telephone | 815-295-9551
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State |
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