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General NPI Number Information
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NPI Number | 1427325760
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Entity Type | Individual
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Provider Name | BRUCE MICHAEL MORSE MD
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Gender | Male
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Dates
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Enumeration Date | 11/30/2011
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 14020 SAN PABLO AVE SUITE A
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City | SAN PABLO
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State | CA
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Zip | 94806-3619
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Country | US
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Telephone | 510-235-1057
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Fax |
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Provider Business Mailing Address
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Address Line | 149 CHAPEL DR
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City | MILL VALLEY
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State | CA
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Zip | 94941-3168
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Country | US
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Telephone | 415-383-3560
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Fax | 415-383-7086
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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 | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | G23287
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License Number State | CA
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