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General NPI Number Information
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NPI Number | 1013111830
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Entity Type | Individual
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Provider Name | YARON AHARON MOSHEL MD, PHD
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Gender | Male
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Dates
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Enumeration Date | 06/14/2007
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Last Update Date | 01/17/2024
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Provider Practice Location Address
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Address Line | 100 MADISON AVE CAROL G. SIMON CANCER CENTER- 3RD FLOOR
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City | MORRISTOWN
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State | NJ
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Zip | 07960-6967
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Country | US
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Telephone | 973-993-7700
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Fax | 973-971-7240
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Provider Business Mailing Address
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Address Line | 10 MADISON AVE STE 202
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City | MORRISTOWN
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State | NJ
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Zip | 07960-7303
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Country | US
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Telephone | 973-993-7700
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Fax | 973-971-7240
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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 | 207T00000X
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Taxonomy Name | Neurological Surgery Physician
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License Number | 25MA08787400
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License Number State | NJ
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