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General NPI Number Information
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NPI Number | 1760916480
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Entity Type | Organization
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Legal Business Name | STEVEN A. MOSKOWITZ DDS
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Dates
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Enumeration Date | 04/19/2017
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Last Update Date | 04/19/2017
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Provider Practice Location Address
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Address Line | 1517 PACKER AVENUE
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City | PHILADELPHIA
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State | PA
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Zip | 19145
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Country | US
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Telephone | 215-462-2424
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Fax |
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Provider Business Mailing Address
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Address Line | 1517 PACKER AVE
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City | PHILADELPHIA
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State | PA
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Zip | 19145-4910
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Country | US
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Telephone | 215-462-2424
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Fax |
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Authorized Official
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Title or Position | CLERICAL
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Name | MRS. JOANN MORELLI
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Credential |
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Telephone | 215-462-2424
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | DS018906L
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License Number State | PA
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