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General NPI Number Information
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NPI Number | 1174555312
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Entity Type | Individual
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Provider Name | ROBERT WILLIS MORSE D.O.
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Gender | Male
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Dates
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Enumeration Date | 07/07/2006
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Last Update Date | 09/28/2020
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Provider Practice Location Address
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Address Line | 1355 EXCHANGE ST
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City | ASTORIA
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State | OR
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Zip | 97103-3980
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Country | US
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Telephone | 503-717-7850
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Fax | 503-717-7851
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Provider Business Mailing Address
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Address Line | 1355 EXCHANGE ST 3 & 4
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City | ASTORIA
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State | OR
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Zip | 97103-3980
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Country | US
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Telephone | 503-717-7850
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Fax | 503-717-7851
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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 | DO153537
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | DO153537
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License Number State | OR
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