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General NPI Number Information
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NPI Number | 1982665287
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Entity Type | Individual
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Provider Name | JOHN DAVID MOSIER DO
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Gender | Male
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Dates
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Enumeration Date | 03/28/2006
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Last Update Date | 11/11/2024
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Provider Practice Location Address
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Address Line | 6 NORTH BROADWAY
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City | HERINGTON
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State | KS
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Zip | 67449
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Country | US
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Telephone | 785-366-6457
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 425
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City | HERINGTON
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State | KS
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Zip | 67449-0425
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Country | US
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Telephone | 785-258-6028
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Fax | 785-645-5006
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 05-25866
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License Number State | KS
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