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General NPI Number Information
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NPI Number | 1669893392
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Entity Type | Individual
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Provider Name | WHITNEY MOSELEY RN
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Gender | Female
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Dates
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Enumeration Date | 12/24/2013
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Last Update Date | 12/24/2013
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Provider Practice Location Address
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Address Line | 10321 N 2274 RD
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City | CLINTON
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State | OK
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Zip | 73601-7521
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Country | US
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Telephone | 580-331-3329
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Fax |
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Provider Business Mailing Address
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Address Line | 10321 N 2274 RD
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City | CLINTON
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State | OK
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Zip | 73601-7521
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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 | 163WC1500X
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Taxonomy Name | Community Health Registered Nurse
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License Number | R0107010
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License Number State | OK
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