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General NPI Number Information
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NPI Number | 1043436017
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Entity Type | Organization
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Legal Business Name | MOTY N. TAL M.D. LLC
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Dates
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Enumeration Date | 04/18/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1300 STATE ROUTE 35 PLAZA 2 SUITE 202
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City | OCEAN
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State | NJ
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Zip | 07712-3537
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Country | US
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Telephone | 732-517-0555
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Fax | 732-517-1359
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Provider Business Mailing Address
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Address Line | 1300 STATE ROUTE 35 PLAZA 2 SUITE 202
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City | OCEAN
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State | NJ
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Zip | 07712-3537
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Country | US
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Telephone | 732-517-0555
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Fax | 732-517-1359
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Authorized Official
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Title or Position | OWNER
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Name | DR. MOTY N TAL
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Credential | M.D.
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Telephone | 732-517-0555
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number |
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License Number State |
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