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General NPI Number Information
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NPI Number | 1982962452
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Entity Type | Individual
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Provider Name | MICHAEL JOHN MOSKAL M.S.
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Gender | Male
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Dates
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Enumeration Date | 05/02/2012
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Last Update Date | 05/02/2012
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Provider Practice Location Address
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Address Line | 45-021 LIKEKE PL
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City | KANEOHE
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State | HI
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Zip | 96744-2426
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Country | US
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Telephone | 808-397-3170
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Fax |
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Provider Business Mailing Address
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Address Line | 98-402 KOAUKA LOOP APT 1505
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City | AIEA
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State | HI
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Zip | 96701-4573
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Country | US
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Telephone | 808-372-1082
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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