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General NPI Number Information
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NPI Number | 1831202191
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Entity Type | Individual
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Provider Name | ANNA TSELER MOSHEYEV O.D.
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Gender | Female
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Dates
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Enumeration Date | 08/17/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 140 WALNUT STREET
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City | NEWARK
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State | NJ
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Zip | 07105
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Country | US
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Telephone | 973-491-9393
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Fax |
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Provider Business Mailing Address
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Address Line | 605 LAWLER ST
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City | PHILADELPHIA
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State | PA
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Zip | 19116-3317
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Country | US
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Telephone | 267-971-2041
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 27OA00595400
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | OEG001456
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License Number State | PA
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