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General NPI Number Information
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NPI Number | 1922181932
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Entity Type | Individual
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Provider Name | JUDY GAYLE MOSBY FNP
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Gender | Female
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Dates
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Enumeration Date | 10/23/2006
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Last Update Date | 04/30/2025
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Provider Practice Location Address
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Address Line | 1001 14TH STREET
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City | MERIDIAN
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State | MS
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Zip | 39302-0000
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Country | US
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Telephone | 800-897-6169
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 366
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City | MERIDIAN
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State | MS
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Zip | 39302-0366
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Country | US
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Telephone | 601-482-9224
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | R516821
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License Number State | MS
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