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General NPI Number Information
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NPI Number | 1346414695
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Entity Type | Individual
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Provider Name | LINET ROSE D'MORIAS M.D.
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Gender | Female
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Dates
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Enumeration Date | 04/17/2008
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Last Update Date | 10/07/2017
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Provider Practice Location Address
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Address Line | 1303 E. HERNDON AVE MAIL STOP 35
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City | FRESNO
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State | CA
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Zip | 93720-9860
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Country | US
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Telephone | 559-431-4020
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Fax | 559-431-4589
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Provider Business Mailing Address
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Address Line | 6327 N. FRESNO STREET SUITE #104
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City | FRESNO
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State | CA
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Zip | 93720-5236
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Country | US
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Telephone | 559-431-4020
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Fax | 559-431-4589
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | A48021
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | A48021
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License Number State | CA
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