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General NPI Number Information
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NPI Number | 1407146269
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Entity Type | Individual
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Provider Name | MICHAEL NINO MUNOZ MOYA M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/13/2011
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 1180 E SHAW AVE SUITE 101 (CHMG)
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City | FRESNO
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State | CA
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Zip | 93710-7812
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Country | US
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Telephone | 559-228-4245
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Fax |
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Provider Business Mailing Address
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Address Line | 1180 E SHAW AVE SUITE 101
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City | FRESNO
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State | CA
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Zip | 93710-7812
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Country | US
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Telephone | 559-228-4245
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | A129830
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number | A129830
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | A129830
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | A129830
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License Number State | CA
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