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General NPI Number Information
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NPI Number | 1841788247
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Entity Type | Individual
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Provider Name | SARIHA IMA MOYEN MD
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Gender | Female
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Dates
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Enumeration Date | 05/01/2018
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Last Update Date | 08/28/2025
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Provider Practice Location Address
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Address Line | 215 WEST BOWERY STREET LEVEL 4
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City | AKRON
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State | OH
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Zip | 44308
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Country | US
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Telephone | 330-543-8054
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Fax |
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Provider Business Mailing Address
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Address Line | 763 BRENTWOOD BLVD
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City | COPLEY
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State | OH
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Zip | 44321-1479
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Country | US
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Telephone | 330-285-7393
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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 | 2084N0402X
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Taxonomy Name | Neurology with Special Qualifications in Child Neurology Physician
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License Number | A185601
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 2084N0402X
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Taxonomy Name | Neurology with Special Qualifications in Child Neurology Physician
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License Number | 35.154333
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License Number State | OH
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