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General NPI Number Information
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NPI Number | 1083835177
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Entity Type | Individual
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Provider Name | ANNA S MOY O.D.
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Gender | Female
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Dates
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Enumeration Date | 05/02/2007
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Last Update Date | 02/05/2016
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Provider Practice Location Address
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Address Line | 305 OMNI DR
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City | HILLSBOROUGH
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State | NJ
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Zip | 08844-4526
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Country | US
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Telephone | 201-865-6865
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Fax |
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Provider Business Mailing Address
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Address Line | 305 OMNI DRIVE
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City | HILLSBOROUGH
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State | NJ
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Zip | 08844
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Country | US
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Telephone | 201-865-6865
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 27OA00560200
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 27OM00044500
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License Number State | NJ
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Taxonomy #3
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | TUV005975
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License Number State | NY
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