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General NPI Number Information
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NPI Number | 1861539348
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Entity Type | Individual
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Provider Name | NORMAN K MOSER PA-C
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Gender | Male
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Dates
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Enumeration Date | 01/31/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 34800 BOB WILSON DR SUITE 112 NMCSD
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City | SAN DIEGO
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State | CA
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Zip | 92134-1112
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Country | US
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Telephone | 619-532-8421
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Fax | 619-532-8457
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Provider Business Mailing Address
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Address Line | 1464 APPALACHIAN PL
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City | CHULA VISTA
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State | CA
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Zip | 91915-1556
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Country | US
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Telephone | 619-370-1247
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Fax | 619-532-8457
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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 | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number | NCCPA# 1027619
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License Number State |
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