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General NPI Number Information
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NPI Number | 1619763182
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Entity Type | Individual
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Provider Name | EUPHEMIA MOSE RN
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Gender | Female
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Dates
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Enumeration Date | 04/19/2025
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Last Update Date | 04/19/2025
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Provider Practice Location Address
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Address Line | 3528 PECOS WAY
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City | GRAND PRAIRIE
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State | TX
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Zip | 75052-7850
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Country | US
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Telephone | 763-516-4191
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Fax | 763-516-4191
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Provider Business Mailing Address
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Address Line | 3528 PECOS WAY
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City | GRAND PRAIRIE
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State | TX
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Zip | 75052-7850
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Country | US
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Telephone | 763-516-4191
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Fax | 763-516-4191
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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 | 163WA2000X
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Taxonomy Name | Administrator Registered Nurse
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License Number | 761979
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License Number State | TX
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