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General NPI Number Information
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NPI Number | 1821500653
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Entity Type | Individual
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Provider Name | DANA MOSER PHD, CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 11/02/2017
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Last Update Date | 11/02/2017
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Provider Practice Location Address
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Address Line | 5820 ASHER AVE STE 600
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City | LITTLE ROCK
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State | AR
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Zip | 72204-7871
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Country | US
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Telephone | 501-569-3155
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Fax |
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Provider Business Mailing Address
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Address Line | 6106 REMINGTON DR
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City | BRYANT
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State | AR
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Zip | 72022-7526
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Country | US
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Telephone | 832-627-9964
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 4294
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License Number State | AR
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