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General NPI Number Information
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NPI Number | 1184849903
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Entity Type | Individual
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Provider Name | MELVIN DAILEY MORGAN M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/16/2007
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Last Update Date | 05/23/2013
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Provider Practice Location Address
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Address Line | 1800 FAIRBURN AVE # 101
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City | LOS ANGELES
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State | CA
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Zip | 90025-5958
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Country | US
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Telephone | 323-658-8508
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Fax | 310-474-0046
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Provider Business Mailing Address
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Address Line | 8306 WILSHIRE BLVD # 150
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City | BEVERLY HILLS
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State | CA
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Zip | 90211-2304
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Country | US
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Telephone | 323-658-8508
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Fax | 310-474-0046
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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 | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number | C-36615
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License Number State | CA
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