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General NPI Number Information
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NPI Number | 1962541532
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Entity Type | Individual
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Provider Name | TAL JORDAN MOSKOWITZ MD
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Gender | Male
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Dates
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Enumeration Date | 02/06/2007
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Last Update Date | 10/11/2011
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Provider Practice Location Address
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Address Line | 3535 PEACHTREE ROAD SUITE 520 #345
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City | ATLANTA
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State | GA
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Zip | 30326-3292
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Country | US
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Telephone | 678-427-4844
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Fax |
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Provider Business Mailing Address
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Address Line | 3535 PEACHTREE ROAD SUITE 520 #345
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City | ATLANTA
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State | GA
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Zip | 30326-3292
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Country | US
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Telephone | 678-427-4844
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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 | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 37576
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 4304080912
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License Number State | MI
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Taxonomy #3
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 055842
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License Number State | GA
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Taxonomy #4
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 17528
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License Number State | AL
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Taxonomy #5
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | H8269
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License Number State | TX
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Taxonomy #6
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 22110
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License Number State | SC
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Taxonomy #7
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 37576-020
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License Number State | WI
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