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General NPI Number Information
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NPI Number | 1881499697
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Entity Type | Individual
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Provider Name | DEWAYNE C MOSLEY
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Gender | Male
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Dates
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Enumeration Date | 02/17/2025
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Last Update Date | 02/17/2025
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Provider Practice Location Address
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Address Line | 904 19TH ST NE
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City | WASHINGTON
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State | DC
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Zip | 20002-4006
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Country | US
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Telephone | 202-468-0336
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Fax |
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Provider Business Mailing Address
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Address Line | 400 GALLOWAY ST NE
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City | WASHINGTON
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State | DC
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Zip | 20011-6371
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Country | US
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Telephone | 202-816-2708
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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 | 101Y00000X
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Taxonomy Name | Counselor
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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 | 3747P1801X
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Taxonomy Name | Personal Care Attendant
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 372500000X
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Taxonomy Name | Chore Provider
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License Number |
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License Number State | DC
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