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General NPI Number Information
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NPI Number | 1154165561
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Entity Type | Individual
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Provider Name | STACY JULIA MOROZ MD
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Gender | Female
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Dates
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Enumeration Date | 06/20/2024
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Last Update Date | 07/13/2025
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Provider Practice Location Address
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Address Line | 9500 GILMAN DR
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City | LA JOLLA
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State | CA
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Zip | 92093-1009
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Country | US
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Telephone | 619-543-5297
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Fax |
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Provider Business Mailing Address
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Address Line | 4235 PORTE DE PALMAS UNIT 179
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City | SAN DIEGO
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State | CA
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Zip | 92122-5123
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Country | US
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Telephone | 949-981-9432
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | R-13290
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License Number State | IA
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Taxonomy #2
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 203608
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License Number State | CA
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