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General NPI Number Information
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NPI Number | 1306213616
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Entity Type | Individual
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Provider Name | WIN WIN MOE MD
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Gender | Female
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Dates
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Enumeration Date | 08/24/2015
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Last Update Date | 03/06/2023
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Provider Practice Location Address
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Address Line | 10960 DYLAN LOREN CIR
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City | ORLANDO
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State | FL
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Zip | 32825-4439
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Country | US
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Telephone | 407-420-7952
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Fax | 407-420-7953
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Provider Business Mailing Address
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Address Line | 10960 DYLAN LOREN CIR
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City | ORLANDO
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State | FL
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Zip | 32825-4439
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Country | US
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Telephone | 407-420-7952
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Fax | 407-420-7953
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | ME154137
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License Number State | FL
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