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General NPI Number Information
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NPI Number | 1255099461
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Entity Type | Individual
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Provider Name | ROSE-ANN OBIAGELI MORAH APRN
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Gender | Female
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Dates
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Enumeration Date | 12/05/2021
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Last Update Date | 12/05/2021
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Provider Practice Location Address
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Address Line | 301 UNIVERSITY BLVD
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City | GALVESTON
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State | TX
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Zip | 77555-5303
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Country | US
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Telephone | 409-772-2222
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Fax |
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Provider Business Mailing Address
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Address Line | 1814 SABINE LN
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City | RICHMOND
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State | TX
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Zip | 77406-7940
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Country | US
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Telephone | 281-684-5590
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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 | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 1021140
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License Number State | TX
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