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General NPI Number Information
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NPI Number | 1225823271
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Entity Type | Individual
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Provider Name | CESAR S MORALES PA
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Gender | Male
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Dates
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Enumeration Date | 04/10/2025
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Last Update Date | 04/10/2025
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Provider Practice Location Address
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Address Line | 515 N 18TH ST
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City | PHOENIX
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State | AZ
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Zip | 85006-3726
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Country | US
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Telephone | 602-290-3996
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Fax |
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Provider Business Mailing Address
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Address Line | 5401 E VAN BUREN ST UNIT 2074
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City | PHOENIX
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State | AZ
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Zip | 85008-3475
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Country | US
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Telephone | 602-290-3996
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 002444-P.A
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License Number State | PR
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