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General NPI Number Information
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NPI Number | 1497767263
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Entity Type | Organization
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Legal Business Name | MORRISTOWN NEUROLOGICAL ASSOCIATES, PA
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Dates
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Enumeration Date | 08/12/2006
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Last Update Date | 05/24/2010
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Provider Practice Location Address
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Address Line | 95 MADISON AVE SUITE 411
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City | MORRISTOWN
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State | NJ
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Zip | 07960-6092
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Country | US
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Telephone | 973-455-7444
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Fax | 973-455-7447
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Provider Business Mailing Address
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Address Line | 95 MADISON AVE SUITE 411
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City | MORRISTOWN
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State | NJ
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Zip | 07960-6092
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Country | US
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Telephone | 973-455-7444
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Fax | 973-455-7447
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. BRIAN JOHN MORSE
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Credential | DO
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Telephone | 973-455-7444
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084N0600X
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Taxonomy Name | Clinical Neurophysiology Physician
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License Number | 25MB08082800
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 25MB08082800
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License Number State | NJ
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