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General NPI Number Information
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NPI Number | 1174633168
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Entity Type | Individual
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Provider Name | JANET MOY DO
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Gender | Female
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Dates
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Enumeration Date | 08/30/2006
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Last Update Date | 06/21/2024
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Provider Practice Location Address
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Address Line | 85 E.US-6 FRONTAGE ROAD
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City | VALPARAISO
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State | IN
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Zip | 46383
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Country | US
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Telephone | 219-983-8300
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Fax |
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Provider Business Mailing Address
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Address Line | 3411 W LAKESHORE DR
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City | CROWN POINT
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State | IN
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Zip | 46307-8922
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Country | US
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Telephone | 630-532-4221
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 02001714A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 036088686
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License Number State | IL
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