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General NPI Number Information
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NPI Number | 1316055999
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Entity Type | Individual
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Provider Name | JOSEPH JOHN MOREIRA MD
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Gender | Male
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Dates
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Enumeration Date | 08/25/2006
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Last Update Date | 04/22/2024
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Provider Practice Location Address
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Address Line | 319 WILLIS AVE 2ND FLOOR
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City | MINEOLA
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State | NY
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Zip | 11501-1510
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Country | US
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Telephone | 917-273-4092
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Fax | 516-442-2251
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Provider Business Mailing Address
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Address Line | 50 THE INTERVALE
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City | ROSLYN
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State | NY
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Zip | 11576-1909
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Country | US
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Telephone | 917-273-4092
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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 | 204D00000X
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Taxonomy Name | Neuromusculoskeletal Medicine & OMM Physician
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License Number | 053785
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 204D00000X
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Taxonomy Name | Neuromusculoskeletal Medicine & OMM Physician
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License Number | ME124820
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 188071
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License Number State | NY
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