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General NPI Number Information
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NPI Number | 1205292182
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Entity Type | Individual
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Provider Name | ALEKSANDRS MOROZOVS APRN
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Gender | Male
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Dates
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Enumeration Date | 01/08/2016
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Last Update Date | 10/21/2024
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Provider Practice Location Address
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Address Line | 180 JFK DR STE 311
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City | ATLANTIS
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State | FL
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Zip | 33462-6641
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Country | US
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Telephone | 561-434-0353
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 70280
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City | PHILADELPHIA
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State | PA
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Zip | 19176-0280
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Country | US
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Telephone | 561-434-0353
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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 | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | APRN11035652
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License Number State | FL
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