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General NPI Number Information
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NPI Number | 1689309247
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Entity Type | Individual
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Provider Name | MOISES E MORALES SIERRA JR. MD
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Gender | Male
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Dates
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Enumeration Date | 07/19/2022
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Last Update Date | 11/12/2024
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Provider Practice Location Address
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Address Line | 3 CALLE FONT MARTELO E
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City | HUMACAO
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State | PR
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Zip | 00791-3617
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Country | US
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Telephone | 787-656-2424
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Fax |
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Provider Business Mailing Address
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Address Line | CALLE 5 D 13 RIO GRANDE ESTATE
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City | RIO GRANDE
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State | PR
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Zip | 00745-5033
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Country | US
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Telephone | 913-263-4570
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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 | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 23572
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License Number State | PR
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