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General NPI Number Information
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NPI Number | 1609687565
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Entity Type | Individual
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Provider Name | NATRASHA MOSS LMSW
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Gender | Female
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Dates
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Enumeration Date | 01/18/2025
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Last Update Date | 01/18/2025
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Provider Practice Location Address
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Address Line | 9300 JOHN HICKMAN PKWY STE 801
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City | FRISCO
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State | TX
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Zip | 75035-5913
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Country | US
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Telephone | 817-404-4492
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Fax |
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Provider Business Mailing Address
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Address Line | 401 CENTURY PKWY # 2171
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City | ALLEN
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State | TX
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Zip | 75013-8043
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 115017
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License Number State | TX
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