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General NPI Number Information
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NPI Number | 1316673627
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Entity Type | Individual
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Provider Name | ERIN QUYEN MOYNIHAN NP
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Gender | Female
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Dates
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Enumeration Date | 07/28/2022
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Last Update Date | 12/20/2022
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Provider Practice Location Address
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Address Line | 710 W 168TH ST STE 212
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City | NEW YORK
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State | NY
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Zip | 10032-3726
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Country | US
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Telephone | 212-305-6876
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Fax |
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Provider Business Mailing Address
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Address Line | 219 W 81ST ST APT 11C
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City | NEW YORK
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State | NY
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Zip | 10024-5822
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Country | US
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Telephone | 651-472-3593
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | F07221724
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 350732
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License Number State | NY
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