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General NPI Number Information
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NPI Number | 1073572376
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Entity Type | Individual
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Provider Name | ROBERT C MORASH JR. PA-C
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Gender | Male
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Dates
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Enumeration Date | 03/23/2006
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Last Update Date | 10/23/2012
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Provider Practice Location Address
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Address Line | 9321 RIDGETOP BLVD. NW STE 100
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City | SILVERDALE
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State | WA
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Zip | 98383
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Country | US
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Telephone | 360-782-3300
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Fax | 360-782-3345
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Provider Business Mailing Address
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Address Line | 2512 WHEATON WAY
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City | BREMERTON
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State | WA
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Zip | 98310-3399
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Country | US
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Telephone | 360-782-3650
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Fax | 360-782-3686
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | PA10001953
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | OA60078618
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License Number State | WA
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