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General NPI Number Information
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NPI Number | 1497191688
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Entity Type | Organization
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Legal Business Name | WILLIAM J MORAN DC PA
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Dates
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Enumeration Date | 05/15/2013
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Last Update Date | 07/21/2023
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Provider Practice Location Address
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Address Line | 45 W PROSPECT RD
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City | OAKLAND PARK
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State | FL
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Zip | 33309-3921
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Country | US
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Telephone | 954-351-0600
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Fax | 954-351-0603
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Provider Business Mailing Address
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Address Line | 45 W PROSPECT RD
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City | OAKLAND PARK
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State | FL
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Zip | 33309-3921
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Country | US
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Telephone | 954-351-0600
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Fax | 954-351-0603
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Authorized Official
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Title or Position | OWNER
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Name | DR. WILLIAM J MORAN
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Credential | DC
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Telephone | 954-351-0600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | CH8239
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License Number State | FL
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