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General NPI Number Information
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NPI Number | 1629767389
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Entity Type | Individual
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Provider Name | ROBIN E MOSS
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Gender | Female
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Dates
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Enumeration Date | 05/08/2023
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Last Update Date | 05/08/2023
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Provider Practice Location Address
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Address Line | 14812 DENSMORE AVENUE NORTH
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City | SHORELINE
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State | WA
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Zip | 98133
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Country | US
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Telephone | 206-661-2065
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Fax | 206-367-0969
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Provider Business Mailing Address
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Address Line | POST OFFICE BOX 77092
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City | SEATTLE
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State | WA
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Zip | 98133
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Country | US
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Telephone | 206-661-2065
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Fax | 206-367-0969
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LW00005832
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License Number State | WA
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