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General NPI Number Information
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NPI Number | 1639992381
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Entity Type | Individual
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Provider Name | SUMAIYAH A MOSS
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Gender | Female
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Dates
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Enumeration Date | 11/01/2024
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Last Update Date | 11/01/2024
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Provider Practice Location Address
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Address Line | 4442 RIDGE AVE APT 213
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City | PHILADELPHIA
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State | PA
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Zip | 19129-1856
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Country | US
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Telephone | 215-485-1609
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Fax |
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Provider Business Mailing Address
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Address Line | 45 E CITY AVE UNIT 643
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City | BALA CYNWYD
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State | PA
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Zip | 19004-2421
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Country | US
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Telephone | 215-485-1609
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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 | 373H00000X
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Taxonomy Name | Day Training/Habilitation Specialist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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