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General NPI Number Information
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NPI Number | 1902299233
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Entity Type | Individual
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Provider Name | BRADY HALL MOSHER DMD, MD
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Gender | Male
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Dates
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Enumeration Date | 03/11/2015
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Last Update Date | 01/06/2026
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Provider Practice Location Address
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Address Line | 3600 N DUKE ST STE 28
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City | DURHAM
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State | NC
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Zip | 27704-1769
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Country | US
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Telephone | 984-288-0872
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Fax |
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Provider Business Mailing Address
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Address Line | 3600 N DUKE ST STE 28
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City | DURHAM
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State | NC
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Zip | 27704-1769
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Country | US
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Telephone | 984-288-0872
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 14211
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | D012687
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License Number State | AZ
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