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General NPI Number Information
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NPI Number | 1144049115
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Entity Type | Individual
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Provider Name | MOSES SAMI YASIN DC
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Gender | Male
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Dates
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Enumeration Date | 10/07/2024
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Last Update Date | 01/12/2026
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Provider Practice Location Address
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Address Line | 199 NJ-284 SUITE 500
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City | SUSSEX
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State | NJ
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Zip | 07461
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Country | US
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Telephone | 845-492-0050
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Fax |
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Provider Business Mailing Address
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Address Line | 199 STATE RT 284 STE 500
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City | SUSSEX
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State | NJ
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Zip | 07461-3417
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Country | US
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Telephone | 973-302-5853
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 38MC00815700
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 111NS0005X
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Taxonomy Name | Sports Physician Chiropractor
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License Number | 6848
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License Number State | NJ
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