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General NPI Number Information
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NPI Number | 1316334600
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Entity Type | Individual
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Provider Name | MORGAN MANDIGO MD
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Gender | Female
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Dates
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Enumeration Date | 04/24/2015
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Last Update Date | 10/10/2025
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Provider Practice Location Address
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Address Line | 330 E ORANGEWOOD AVE
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City | ANAHEIM
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State | CA
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Zip | 92802-4313
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Country | US
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Telephone | 714-716-2584
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 809
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City | SUNSET BEACH
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State | CA
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Zip | 90742-0809
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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 |
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | A179923
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | TPME4624
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 332057
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License Number State | NY
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