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General NPI Number Information
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NPI Number | 1659237303
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Entity Type | Individual
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Provider Name | MACEY ELIZABETH MOSER M.S
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Gender | Female
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Dates
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Enumeration Date | 12/26/2025
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Last Update Date | 12/27/2025
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Provider Practice Location Address
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Address Line | 6902 PARKSIDE CIR
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City | DEFOREST
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State | WI
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Zip | 53532-2560
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Country | US
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Telephone | 608-846-2101
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Fax |
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Provider Business Mailing Address
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Address Line | 8570 GREENWAY BLVD APT 410
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City | MIDDLETON
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State | WI
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Zip | 53562-4741
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Country | US
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Telephone | 608-338-2364
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State | WI
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