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General NPI Number Information
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NPI Number | 1710518477
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Entity Type | Individual
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Provider Name | RICHARD D MOSS PHARMD
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Gender | Male
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Dates
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Enumeration Date | 01/31/2020
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Last Update Date | 06/06/2022
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Provider Practice Location Address
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Address Line | 160 SW 12 AVENUE, SUITE 101 D
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City | DEERFIELD BEACH
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State | FL
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Zip | 33442
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Country | US
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Telephone | 954-725-0222
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Fax | 954-725-8811
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Provider Business Mailing Address
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Address Line | 7001 NW 68 MANOR
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City | PARKLAND
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State | FL
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Zip | 33067-1478
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Country | US
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Telephone | 954-592-1787
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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 | 1835P2201X
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Taxonomy Name | Ambulatory Care Pharmacist
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License Number | PS21029
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 1835P0018X
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Taxonomy Name | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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License Number | PS21029
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License Number State | FL
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