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General NPI Number Information
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NPI Number | 1851113633
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Entity Type | Organization
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Legal Business Name | MOSLEY HEALTHCARE SERVICE LLC
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Dates
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Enumeration Date | 10/31/2024
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Last Update Date | 10/31/2024
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Provider Practice Location Address
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Address Line | 3004 MCGOUGH CT
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City | MOBILE
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State | AL
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Zip | 36605-4026
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Country | US
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Telephone | 205-756-1513
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Fax |
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Provider Business Mailing Address
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Address Line | 105 VULCAN RD STE 211
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City | BIRMINGHAM
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State | AL
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Zip | 35209-4701
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Country | US
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Telephone | 205-756-1513
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE HR OFFICER
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Name | LAHAVIS HARDY
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Credential |
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Telephone | 205-756-1513
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number |
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License Number State |
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