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General NPI Number Information
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NPI Number | 1386814770
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Entity Type | Individual
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Provider Name | JOHN ROBERT MORIARITY RN
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Gender | Male
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Dates
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Enumeration Date | 03/03/2008
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Last Update Date | 03/03/2008
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Provider Practice Location Address
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Address Line | 400 MARKET ST SECOND FLOOR
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City | CAMDEN
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State | NJ
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Zip | 08102-1526
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Country | US
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Telephone | 856-541-1700
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Fax |
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Provider Business Mailing Address
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Address Line | 205 CAINS MILL RD
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City | WILLIAMSTOWN
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State | NJ
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Zip | 08094-2409
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Country | US
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Telephone | 609-839-2198
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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 | 163WP0808X
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Taxonomy Name | Psychiatric/Mental Health Registered Nurse
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License Number | 26NO112105
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License Number State | NJ
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