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General NPI Number Information
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NPI Number | 1851944755
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Entity Type | Individual
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Provider Name | JULIE D MOSES M.S., CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 07/19/2019
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Last Update Date | 02/01/2022
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Provider Practice Location Address
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Address Line | 3377 S STATE ROAD 7
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City | WELLINGTON
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State | FL
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Zip | 33449-8082
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Country | US
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Telephone | 561-341-7005
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Fax |
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Provider Business Mailing Address
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Address Line | 6020 NW 101ST TER
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City | PARKLAND
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State | FL
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Zip | 33076-2580
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Country | US
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Telephone | 954-235-8305
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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 | SA18362
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License Number State | FL
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