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General NPI Number Information
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NPI Number | 1285980482
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Entity Type | Organization
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Legal Business Name | MORPHEUS ANESTHESIA CONSULTANTS, PC
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Dates
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Enumeration Date | 07/25/2012
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Last Update Date | 01/31/2014
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Provider Practice Location Address
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Address Line | 15 CHIMNEY LN
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City | WAYNE
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State | NJ
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Zip | 07470-2001
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Country | US
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Telephone | 646-295-0731
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Fax |
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Provider Business Mailing Address
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Address Line | 15 CHIMNEY LN
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City | WAYNE
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State | NJ
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Zip | 07470-2001
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Country | US
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Telephone | 646-295-0731
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. KEVIN JONES
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Credential | MD
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Telephone | 646-295-0731
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 25MA07991700
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License Number State | NJ
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