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General NPI Number Information
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NPI Number | 1669867529
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Entity Type | Individual
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Provider Name | SACHIN MOONAT M.D., PH.D.
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Gender | Male
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Dates
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Enumeration Date | 03/30/2015
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Last Update Date | 11/09/2022
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Provider Practice Location Address
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Address Line | 11750 SW 40TH ST
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City | MIAMI
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State | FL
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Zip | 33175
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Country | US
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Telephone | 305-223-3000
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Fax |
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Provider Business Mailing Address
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Address Line | 777 BRICKELL AVENUE BLDG 500 STE 14361
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City | MIAMI
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State | FL
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Zip | 33131-0020
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Country | US
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Telephone | 305-209-0123
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | D0085847
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 01088854A
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License Number State | IN
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Taxonomy #3
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | ME140183
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License Number State | FL
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