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General NPI Number Information
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NPI Number | 1699426130
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Entity Type | Individual
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Provider Name | HESTON EDUARDO MOY DC
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Gender | Male
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Dates
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Enumeration Date | 01/17/2022
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Last Update Date | 04/22/2024
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Provider Practice Location Address
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Address Line | 13220 BISCAYNE BLVD
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City | NORTH MIAMI
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State | FL
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Zip | 33181-2040
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Country | US
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Telephone | 754-610-0853
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Fax |
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Provider Business Mailing Address
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Address Line | 4405 NE 21ST AVE APT 2
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City | FORT LAUDERDALE
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State | FL
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Zip | 33308-5664
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Country | US
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Telephone | 754-610-0853
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | CH13658
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License Number State | FL
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