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General NPI Number Information
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NPI Number | 1114657574
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Entity Type | Individual
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Provider Name | AMY MOYER DENTAL HYGIENIST
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Gender | Female
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Dates
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Enumeration Date | 06/16/2022
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Last Update Date | 07/03/2023
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Provider Practice Location Address
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Address Line | 101 N 6TH ST STE 310
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City | ALLENTOWN
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State | PA
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Zip | 18101-1403
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Country | US
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Telephone | 484-224-0777
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Fax | 610-969-2432
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Provider Business Mailing Address
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Address Line | 400 N 17TH ST STE 300
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City | ALLENTOWN
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State | PA
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Zip | 18104-5052
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Country | US
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Telephone | 610-969-3003
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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 | 124Q00000X
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Taxonomy Name | Dental Hygienist
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License Number |
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License Number State | PA
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