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General NPI Number Information
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NPI Number | 1548062615
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Entity Type | Individual
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Provider Name | KERWIKEN MORPAS
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Gender | Male
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Dates
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Enumeration Date | 03/27/2025
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Last Update Date | 03/27/2025
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Provider Practice Location Address
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Address Line | 1309 MARLENE ST
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City | LEESBURG
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State | FL
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Zip | 34748-6759
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Country | US
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Telephone | 352-461-1584
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Fax |
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Provider Business Mailing Address
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Address Line | 484 RIVERSIDE AVE
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City | JACKSONVILLE
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State | FL
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Zip | 32202-4912
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Country | US
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Telephone | 800-699-9395
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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 | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | PTA31648
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License Number State | FL
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