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General NPI Number Information
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NPI Number | 1821038324
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Entity Type | Individual
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Provider Name | PAMELA ANN MOSHER MS-CCCA
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Gender | Female
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Dates
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Enumeration Date | 06/07/2006
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Last Update Date | 07/12/2011
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Provider Practice Location Address
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Address Line | 501 1ST CAPITOL DR SUITE 8
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City | SAINT CHARLES
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State | MO
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Zip | 63301-2768
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Country | US
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Telephone | 636-940-9119
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Fax | 636-940-9789
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Provider Business Mailing Address
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Address Line | 6 VICTORY DR
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City | LIBERTY
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State | MO
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Zip | 64068-3807
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Country | US
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Telephone | 816-313-2800
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Fax | 816-792-9819
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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 | 108339
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License Number State | MO
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