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General NPI Number Information
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NPI Number | 1699975573
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Entity Type | Individual
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Provider Name | WILLIAM ARTHUR MOSIER EDD, PA-C, LIMFT
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Gender | Male
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Dates
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Enumeration Date | 07/19/2007
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Last Update Date | 07/19/2007
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Provider Practice Location Address
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Address Line | 230 S DUTOIT ST
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City | DAYTON
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State | OH
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Zip | 45402-2215
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Country | US
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Telephone | 937-361-3399
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 31250
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City | DAYTON
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State | OH
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Zip | 45437-0250
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Country | US
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Telephone | 937-361-3399
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 0110001304
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License Number State | VA
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