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General NPI Number Information
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NPI Number | 1528134251
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Entity Type | Organization
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Legal Business Name | JARED B MORRIS MD INC
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Dates
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Enumeration Date | 11/27/2006
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Last Update Date | 09/15/2010
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Provider Practice Location Address
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Address Line | 6200 WILSHIRE BLVD SUITE 1210
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City | LOS ANGELES
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State | CA
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Zip | 90048
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Country | US
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Telephone | 323-933-5797
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Fax | 323-933-8168
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Provider Business Mailing Address
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Address Line | 6200 WILSHIRE BLVD SUITE 1210
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City | LOS ANGELES
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State | CA
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Zip | 90048
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Country | US
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Telephone | 323-933-5797
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Fax | 323-933-8168
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Authorized Official
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Title or Position | PRESIDENT
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Name | JARED B MORRIS
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Credential | MD
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Telephone | 323-933-5797
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | A20821
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License Number State | CA
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