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General NPI Number Information
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NPI Number | 1487414371
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Entity Type | Individual
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Provider Name | ROBERT EDWARD MORALES
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Gender | Male
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Dates
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Enumeration Date | 03/19/2024
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Last Update Date | 03/19/2024
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Provider Practice Location Address
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Address Line | 194 W NORTH BEND RD
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City | CINCINNATI
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State | OH
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Zip | 45216-1735
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Country | US
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Telephone | 502-742-0061
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Fax |
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Provider Business Mailing Address
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Address Line | 645 HIGHLAND AVE APT 109E
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City | FORT THOMAS
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State | KY
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Zip | 41075-1748
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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