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General NPI Number Information
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NPI Number | 1679718027
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Entity Type | Individual
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Provider Name | VICTORIA ROSE MOSS M.D.
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Gender | Female
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Dates
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Enumeration Date | 12/12/2008
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Last Update Date | 10/30/2025
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Provider Practice Location Address
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Address Line | 9348 GRAND CORDERA PKWY STE 160
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City | COLORADO SPRINGS
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State | CO
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Zip | 80924-7023
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Country | US
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Telephone | 719-355-1585
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Fax | 719-623-2983
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Provider Business Mailing Address
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Address Line | 12320 ORACLE BLVD STE 350
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City | COLORADO SPRINGS
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State | CO
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Zip | 80921-2543
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Country | US
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Telephone | 719-355-1585
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Fax | 920-684-1439
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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 | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | DR.0072440
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | 01082823A
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License Number State | IN
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Taxonomy #3
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | 53961-020
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License Number State | WI
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