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General NPI Number Information
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NPI Number | 1407092976
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Entity Type | Individual
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Provider Name | MORRIS MOSSERI M.D.
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Gender | Male
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Dates
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Enumeration Date | 01/05/2009
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Last Update Date | 01/05/2009
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Provider Practice Location Address
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Address Line | 59 TSHERMICHOVSKY STREET
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City | KFIAR-SAVA
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State | IL
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Zip | 44281
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Country | IL
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Telephone | 729-747-2587
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Fax |
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Provider Business Mailing Address
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Address Line | 1 SHTREIHMAN STREET
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City | TEL AVIV
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State | IL
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Zip | 69671
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Country | IL
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Telephone | 729-747-2587
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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 | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 74950
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License Number State | MA
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