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General NPI Number Information
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NPI Number | 1851102396
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Entity Type | Individual
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Provider Name | ALEX DANIEL COLON MOYA PHARMD
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Gender | Male
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Dates
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Enumeration Date | 01/15/2025
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Last Update Date | 01/23/2025
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Provider Practice Location Address
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Address Line | 3148 W 3500 S
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City | WEST VALLEY
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State | UT
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Zip | 84119-3634
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Country | US
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Telephone | 801-923-6389
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Fax |
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Provider Business Mailing Address
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Address Line | 11345 S GRANDVILLE AVE APT 217
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City | SOUTH JORDAN
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State | UT
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Zip | 84009-1477
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Country | US
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Telephone | 787-616-5200
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 119351331701
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License Number State | UT
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