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General NPI Number Information
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NPI Number | 1215121413
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Entity Type | Organization
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Legal Business Name | MORIN MEDICAL CORP.
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Dates
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Enumeration Date | 08/30/2007
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Last Update Date | 07/17/2020
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Provider Practice Location Address
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Address Line | 2103 PICKWICK DR
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City | CAMARILLO
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State | CA
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Zip | 93010-6427
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Country | US
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Telephone | 805-484-7448
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Fax | 805-484-3642
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Provider Business Mailing Address
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Address Line | 2103 PICKWICK DR
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City | CAMARILLO
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State | CA
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Zip | 93010-6427
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Country | US
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Telephone | 805-484-7448
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Fax | 805-484-3642
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. PAUL E MORIN
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Credential | MD
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Telephone | 805-484-7448
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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 | A56405
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License Number State | CA
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