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General NPI Number Information
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NPI Number | 1700850344
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Entity Type | Individual
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Provider Name | DAXTON K. MOSS AU.D., CCC-A
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Gender | Male
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Dates
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Enumeration Date | 02/13/2006
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Last Update Date | 02/06/2015
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Provider Practice Location Address
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Address Line | 17390 PRESTON RD STE. 320
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City | DALLAS
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State | TX
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Zip | 75252-5791
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Country | US
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Telephone | 972-733-3344
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Fax | 972-733-3852
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Provider Business Mailing Address
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Address Line | 17390 PRESTON RD STE. 320
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City | DALLAS
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State | TX
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Zip | 75252-5791
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Country | US
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Telephone | 972-733-3344
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Fax | 972-733-3852
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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 | 231H00000X
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Taxonomy Name | Audiologist
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License Number | 80518
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 231HA2400X
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Taxonomy Name | Assistive Technology Practitioner Audiologist
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License Number | 80518
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 237600000X
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Taxonomy Name | Audiologist-Hearing Aid Fitter
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License Number | 80518
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License Number State | TX
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