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General NPI Number Information
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NPI Number | 1326104498
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Entity Type | Individual
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Provider Name | DR. CHEUNG MOON
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Gender | Male
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Dates
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Enumeration Date | 12/30/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 3 HATFIELD LN SUITE 1
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City | GOSHEN
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State | NY
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Zip | 10924-6731
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Country | US
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Telephone | 845-291-7480
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Fax |
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Provider Business Mailing Address
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Address Line | 965 HUNTINGTON DR
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City | FISHKILL
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State | NY
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Zip | 12524-4925
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Country | US
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Telephone | 845-440-7154
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 13080
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License Number State | DC
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