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General NPI Number Information
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NPI Number | 1346445376
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Entity Type | Organization
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Legal Business Name | DR ANNA MOY DPM LLC
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Dates
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Enumeration Date | 06/19/2007
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Last Update Date | 09/07/2007
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Provider Practice Location Address
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Address Line | 631 NYE AVE SUITE A7
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City | IRVINGTON
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State | NJ
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Zip | 07111-2394
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Country | US
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Telephone | 973-416-1333
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Fax | 973-416-0179
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Provider Business Mailing Address
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Address Line | PO BOX 3619
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City | JERSEY CITY
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State | NJ
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Zip | 07303-3619
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Country | US
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Telephone | 201-938-1866
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Fax | 973-416-0179
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Authorized Official
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Title or Position | DOCTOR OF PODIATRIC MEDICINE
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Name | ANNA MOY
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Credential | DPM
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Telephone | 973-416-1333
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | MD00155900
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License Number State | NJ
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