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General NPI Number Information
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NPI Number | 1417212317
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Entity Type | Individual
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Provider Name | ESTHER MORENO TEACHER
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Gender | Female
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Dates
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Enumeration Date | 07/07/2012
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Last Update Date | 07/07/2012
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Provider Practice Location Address
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Address Line | 348 E 146TH ST
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City | BRONX
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State | NY
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Zip | 10451-5702
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Country | US
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Telephone | 718-585-0600
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Fax |
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Provider Business Mailing Address
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Address Line | 318 LEVINSOHN PL
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City | ENGLEWOOD
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State | NJ
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Zip | 07631-2120
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Country | US
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Telephone | 917-804-0257
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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