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General NPI Number Information
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NPI Number | 1861233983
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Entity Type | Organization
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Legal Business Name | MOKSCARE FAMILY MEDICINE LLC
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Dates
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Enumeration Date | 06/03/2024
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Last Update Date | 10/23/2025
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Provider Practice Location Address
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Address Line | 1438 GIRARD BLVD NE
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City | ALBUQUERQUE
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State | NM
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Zip | 87106-1821
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Country | US
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Telephone | 505-308-8150
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Fax | 505-219-3830
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Provider Business Mailing Address
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Address Line | 7450 QUIVIRA RD
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City | LENEXA
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State | KS
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Zip | 66216-3526
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Country | US
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Telephone | 913-706-2508
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Fax | 913-543-4444
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | NEEMA TITUS MSHANA
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Credential |
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Telephone | 913-602-0622
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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