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General NPI Number Information
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NPI Number | 1932393626
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Entity Type | Organization
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Legal Business Name | DR. WILLIAM J. MOSS
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Dates
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Enumeration Date | 09/05/2007
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Last Update Date | 03/03/2017
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Provider Practice Location Address
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Address Line | 1755 GUNBARREL RD STE 205
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City | CHATTANOOGA
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State | TN
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Zip | 37421-3185
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Country | US
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Telephone | 423-756-0863
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Fax | 706-937-2377
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Provider Business Mailing Address
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Address Line | PO BOX 21592
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City | CHATTANOOGA
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State | TN
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Zip | 37424-0592
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Country | US
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Telephone | 423-756-0863
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Fax | 706-937-2377
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Authorized Official
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Title or Position | OWNER
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Name | DR. WILLIAM JOEL MOSS
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Credential | M.D.
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Telephone | 423-756-0863
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 7472
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License Number State | TN
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