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General NPI Number Information
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NPI Number | 1992848436
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Entity Type | Individual
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Provider Name | MICHAEL ANTHONY MOJICA MICHAEL MOJICA
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Gender | Male
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Dates
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Enumeration Date | 02/15/2007
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Last Update Date | 03/03/2021
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Provider Practice Location Address
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Address Line | 462 1ST AVE BELLEVUE HOSPITAL CENTER ROOM 9-WEST-25
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City | NEW YORK
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State | NY
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Zip | 10016-9196
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Country | US
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Telephone | 212-562-8147
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Fax |
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Provider Business Mailing Address
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Address Line | 136 E 36TH ST APT 10A
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City | NEW YORK
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State | NY
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Zip | 10016-3521
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Country | US
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Telephone | 212-481-0251
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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 | 207PP0204X
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Taxonomy Name | Pediatric Emergency Medicine (Emergency Medicine) Physician
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License Number | 181079
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License Number State | NY
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