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General NPI Number Information
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NPI Number | 1821496357
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Entity Type | Individual
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Provider Name | DAVID M MOESCHLER R.N., P.H.N.
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Gender | Male
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Dates
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Enumeration Date | 12/16/2014
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Last Update Date | 12/16/2014
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Provider Practice Location Address
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Address Line | 36911 STATE HIGHWAY 299 E
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City | BURNEY
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State | CA
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Zip | 96013-4050
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Country | US
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Telephone | 530-335-6705
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Fax | 530-335-6706
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Provider Business Mailing Address
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Address Line | PO BOX 408
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City | BURNEY
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State | CA
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Zip | 96013-0408
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Country | US
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Telephone | 530-335-6705
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Fax | 530-335-6706
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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 | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number | RN 524452
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License Number State | CA
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