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General NPI Number Information
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NPI Number | 1699339515
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Entity Type | Individual
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Provider Name | ANTHONY MOSINSKI
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Gender | Male
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Dates
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Enumeration Date | 04/25/2019
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Last Update Date | 07/11/2025
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Provider Practice Location Address
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Address Line | 100 CUSHMAN ST STE 308
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City | FAIRBANKS
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State | AK
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Zip | 99701-4673
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Country | US
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Telephone | 907-318-5686
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 70541
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City | FAIRBANKS
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State | AK
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Zip | 99707-0541
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Country | US
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Telephone | 907-888-7217
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 230784
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License Number State | AK
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