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General NPI Number Information
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NPI Number | 1811356405
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Entity Type | Individual
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Provider Name | KIMBERLY C. MOSS FNP
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Gender | Female
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Dates
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Enumeration Date | 02/11/2016
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Last Update Date | 08/23/2025
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Provider Practice Location Address
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Address Line | 16260 S RANCHO SAHUARITA BLVD STE 200
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City | SAHUARITA
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State | AZ
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Zip | 85629-0740
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Country | US
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Telephone | 520-575-1175
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Fax | 520-757-1183
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Provider Business Mailing Address
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Address Line | PO BOX 689022
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City | FRANKLIN
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State | TN
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Zip | 37068-9022
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Country | US
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Telephone | 615-465-7211
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | SP017954
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 256716
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License Number State | AZ
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 20910
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License Number State | TN
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