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General NPI Number Information
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NPI Number | 1306815063
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Entity Type | Individual
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Provider Name | ASA MOYER P.T
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Gender | Female
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Dates
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Enumeration Date | 03/15/2006
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Last Update Date | 03/09/2017
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Provider Practice Location Address
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Address Line | 66 S COURTLAND ST # 101
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City | EAST STROUDSBURG
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State | PA
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Zip | 18301-2827
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Country | US
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Telephone | 570-420-0606
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Fax | 570-420-0646
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Provider Business Mailing Address
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Address Line | 66 S COURTLAND ST # 101
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City | EAST STROUDSBURG
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State | PA
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Zip | 18301-2827
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Country | US
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Telephone | 570-420-0606
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Fax | 570-420-0646
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT012169L
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License Number State | PA
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