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General NPI Number Information
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NPI Number | 1417114679
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Entity Type | Organization
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Legal Business Name | MICHEL F MOULIN, MD AND L. NICOLE MOULIN, MD PC
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Dates
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Enumeration Date | 05/16/2008
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Last Update Date | 05/16/2008
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Provider Practice Location Address
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Address Line | 210 E 47TH ST SUITE 1C
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City | NEW YORK
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State | NY
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Zip | 10017-2108
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Country | US
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Telephone | 212-832-0550
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Fax | 212-829-7002
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Provider Business Mailing Address
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Address Line | 210 E 47TH ST SUITE 1C
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City | NEW YORK
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State | NY
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Zip | 10017-2108
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Country | US
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Telephone | 212-832-0550
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Fax | 212-829-7002
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Authorized Official
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Title or Position | PHYSICIAN
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Name | MICHEL F MOULIN
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Credential | MD
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Telephone | 212-832-0550
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | 143416
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 134945
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License Number State | NY
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