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General NPI Number Information
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NPI Number | 1548400856
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Entity Type | Individual
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Provider Name | VALENTINA MOIRANGTHEM M.D.
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Gender | Female
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Dates
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Enumeration Date | 02/26/2009
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Last Update Date | 06/10/2020
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Provider Practice Location Address
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Address Line | 1650 SELWYN AVE
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City | BRONX
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State | NY
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Zip | 10457-7626
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Country | US
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Telephone | 718-239-8359
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Fax | 718-579-3901
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Provider Business Mailing Address
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Address Line | 1650 SELWYN AVE
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City | BRONX
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State | NY
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Zip | 10457-7626
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Country | US
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Telephone | 718-239-8359
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Fax | 718-579-3901
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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 | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | MD14676
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License Number State | RI
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Taxonomy #2
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | 273548
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License Number State | MA
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Taxonomy #3
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | 303576
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License Number State | NY
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