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NPI 1518161595

NPI 1518161595 : BRIAN MORSE MD : BOERNE, TX

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General NPI Number Information
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    NPI Number           |    1518161595
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    Entity Type          |    Individual 
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    Provider Name        |    BRIAN MORSE MD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    06/13/2007
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    Last Update Date     |    01/08/2024
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Provider Practice Location Address
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    Address Line         |    28075 AQUEDUCT LN 
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    City                 |    BOERNE
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    State                |    TX
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    Zip                  |    78015-4802
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    Country              |    US
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    Telephone            |    813-745-7365
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    Fax                  |    813-449-8618
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Provider Business Mailing Address
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    Address Line         |    PO BOX 198441 
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    City                 |    ATLANTA
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    State                |    GA
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    Zip                  |    30384-8441
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    Country              |    US
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    Telephone            |    813-745-7365
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    Fax                  |    813-449-8618
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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        |    2085R0202X
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    Taxonomy Name        |    Diagnostic Radiology Physician
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    License Number       |    ME107653
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    License Number State |    FL
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Taxonomy #2
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    Taxonomy Code        |    2085R0202X
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    Taxonomy Name        |    Diagnostic Radiology Physician
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    License Number       |    41282
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    License Number State |    AZ
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Taxonomy #3
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    Taxonomy Code        |    390200000X
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    Taxonomy Name        |    Student in an Organized Health Care Education/Training Program
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    License Number       |    
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    License Number State |    
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