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General NPI Number Information
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NPI Number | 1942238340
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Entity Type | Individual
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Provider Name | THOMAS H MOSELEY MD
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Gender | Male
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Dates
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Enumeration Date | 06/28/2006
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Last Update Date | 10/20/2014
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Provider Practice Location Address
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Address Line | 9600 BAPTIST HEALTH DR SUITE 230
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City | LITTLE ROCK
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State | AR
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Zip | 72205-6326
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Country | US
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Telephone | 501-227-6797
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Fax | 501-228-6336
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Provider Business Mailing Address
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Address Line | 9600 BAPTIST HEALTH DR SUITE 230
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City | LITTLE ROCK
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State | AR
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Zip | 72205-6326
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Country | US
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Telephone | 501-227-6797
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Fax | 501-228-6336
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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 | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | E-3550
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License Number State | AR
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