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General NPI Number Information
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NPI Number | 1194120428
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Entity Type | Individual
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Provider Name | SOPHIA NADYA MORGHEM DMD, MS
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Gender | Female
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Dates
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Enumeration Date | 10/29/2014
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Last Update Date | 10/31/2024
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Provider Practice Location Address
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Address Line | 919 IRVING ST SUITE 101
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City | SAN FRANCISCO
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State | CA
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Zip | 94122
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Country | US
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Telephone | 415-681-7001
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Fax |
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Provider Business Mailing Address
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Address Line | 1312 PACIFIC AVE
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City | SAN FRANCISCO
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State | CA
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Zip | 94109
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Country | US
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Telephone | 954-699-7976
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 62776
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License Number State | CA
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