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General NPI Number Information
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NPI Number | 1316209661
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Entity Type | Organization
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Legal Business Name | RICHARD J MORGAN MD PA
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Dates
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Enumeration Date | 06/12/2012
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Last Update Date | 06/12/2012
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Provider Practice Location Address
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Address Line | 2215 NEBRASKA AVE SUITE 3C
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City | FORT PIERCE
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State | FL
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Zip | 34950-4864
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Country | US
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Telephone | 772-429-5354
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Fax | 772-429-5356
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Provider Business Mailing Address
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Address Line | 1295 NEAR OCEAN DR
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City | VERO BEACH
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State | FL
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Zip | 32963-2392
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Country | US
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Telephone | 772-429-5354
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Fax | 772-429-5356
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. RICHARD JOHN MORGAN
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Credential | MD
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Telephone | 772-429-5354
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208G00000X
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Taxonomy Name | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
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License Number | ME72296
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License Number State | FL
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