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General NPI Number Information
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NPI Number | 1679652887
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Entity Type | Individual
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Provider Name | STEPHANIE SUZANNAH MOSLEY RPH
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Gender | Female
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Dates
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Enumeration Date | 11/06/2006
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Last Update Date | 06/12/2012
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Provider Practice Location Address
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Address Line | 127 LAMPLIGHTER DR
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City | MORGANTOWN
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State | WV
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Zip | 26508-8649
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Country | US
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Telephone | 304-594-0047
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Fax |
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Provider Business Mailing Address
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Address Line | 127 LAMPLIGHTER DR
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City | MORGANTOWN
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State | WV
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Zip | 26508-8649
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Country | US
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Telephone | 304-594-0047
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | RP0004708
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License Number State | WV
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | RP044737R
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 03-2-18020
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License Number State | OH
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