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General NPI Number Information
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NPI Number | 1891461265
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Entity Type | Individual
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Provider Name | JOSHUA MOSAKOWSKI AGPCNP-BC
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Gender | Male
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Dates
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Enumeration Date | 08/17/2021
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Last Update Date | 05/08/2023
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Provider Practice Location Address
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Address Line | 142 S CARDIGAN WAY STE D-2
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City | MOORESVILLE
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State | NC
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Zip | 28117-8536
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Country | US
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Telephone | 502-327-9100
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Fax |
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Provider Business Mailing Address
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Address Line | 4939 SUNBURST LN
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City | CHARLOTTE
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State | NC
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Zip | 28213-4244
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Country | US
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Telephone | 980-621-0994
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 3019045
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | 5014901
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 5014901
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License Number State | NC
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