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General NPI Number Information
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NPI Number | 1699020131
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Entity Type | Individual
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Provider Name | JAMES MOSLAK
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Gender | Male
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Dates
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Enumeration Date | 07/20/2012
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Last Update Date | 10/10/2013
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Provider Practice Location Address
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Address Line | 911 N FRONT ST
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City | PHILIPSBURG
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State | PA
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Zip | 16866-8264
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Country | US
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Telephone | 814-342-3930
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Fax | 814-342-3935
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Provider Business Mailing Address
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Address Line | 310 PENN ST SUITE 103
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City | HOLLIDAYSBURG
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State | PA
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Zip | 16648-2044
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Country | US
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Telephone | 814-695-2923
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Fax | 814-695-2924
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT022194
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License Number State | PA
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