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General NPI Number Information
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NPI Number | 1598279838
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Entity Type | Individual
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Provider Name | SARAH MOY
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Gender | Female
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Dates
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Enumeration Date | 11/22/2017
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Last Update Date | 11/22/2017
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Provider Practice Location Address
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Address Line | 4400 KELLER AVE
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City | OAKLAND
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State | CA
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Zip | 94605-4281
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Country | US
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Telephone | 201-693-3589
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Fax |
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Provider Business Mailing Address
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Address Line | 15 PACIFIC BAY CIR APT 102
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City | SAN BRUNO
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State | CA
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Zip | 94066-6148
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Country | US
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Telephone |
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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