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NPI 1073944104

NPI 1073944104 : ALVA MOY-DALEY ANP-BC : BRIDGEWATER, NJ

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General NPI Number Information
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    NPI Number           |    1073944104
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    Entity Type          |    Individual 
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    Provider Name        |    ALVA MOY-DALEY ANP-BC
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    11/27/2013
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    Last Update Date     |    04/03/2025
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Provider Practice Location Address
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    Address Line         |    1251 US HIGHWAY 22 
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    City                 |    BRIDGEWATER
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    State                |    NJ
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    Zip                  |    08807-2916
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    Country              |    US
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    Telephone            |    908-237-4108
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    Fax                  |    908-237-6054
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Provider Business Mailing Address
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    Address Line         |    1251 US HIGHWAY 22 
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    City                 |    BRIDGEWATER
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    State                |    NJ
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    Zip                  |    08807-2916
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    Country              |    US
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    Telephone            |    908-237-4108
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    Fax                  |    908-237-6054
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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        |    363LA2200X
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    Taxonomy Name        |    Adult Health Nurse Practitioner
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    License Number       |    SP013346
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    License Number State |    PA
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Taxonomy #2
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    Taxonomy Code        |    207RE0101X
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    Taxonomy Name        |    Endocrinology, Diabetes & Metabolism Physician
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    License Number       |    26NJ01204400
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    License Number State |    NJ
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