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General NPI Number Information
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NPI Number | 1245105972
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Entity Type | Organization
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Legal Business Name | MORPHO SURGERY CENTER
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Dates
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Enumeration Date | 10/10/2025
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Last Update Date | 10/10/2025
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Provider Practice Location Address
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Address Line | 222 N SUNSET AVE STE A
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City | WEST COVINA
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State | CA
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Zip | 91790-2278
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Country | US
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Telephone | 909-914-0099
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Fax |
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Provider Business Mailing Address
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Address Line | 222 N SUNSET AVE STE A
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City | WEST COVINA
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State | CA
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Zip | 91790-2278
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | VANESSA WU
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Credential |
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Telephone | 732-618-6212
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State |
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