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General NPI Number Information
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NPI Number | 1457898488
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Entity Type | Organization
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Legal Business Name | MORPHEUS PARTNERSHIP,INC
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Dates
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Enumeration Date | 01/29/2017
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Last Update Date | 01/29/2017
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Provider Practice Location Address
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Address Line | 6122 TERRI LYNN DR
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City | SAINT LOUIS
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State | MO
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Zip | 63123-1678
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Country | US
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Telephone | 314-308-5726
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Fax |
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Provider Business Mailing Address
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Address Line | 6122 TERRI LYNN DR
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City | SAINT LOUIS
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State | MO
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Zip | 63123-1678
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Country | US
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Telephone | 314-352-3997
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Fax | 314-352-3997
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Authorized Official
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Title or Position | NURSE ANESTHETIST
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Name | MR. JOHNATHAN GEOFFREY WARBURG
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Credential | C.R.N.A.
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Telephone | 314-308-5726
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 138199
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License Number State | MO
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