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General NPI Number Information
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NPI Number | 1548250970
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Entity Type | Individual
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Provider Name | CLARK A MORRES MD
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Gender | Male
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Dates
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Enumeration Date | 10/26/2005
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Last Update Date | 02/27/2008
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Provider Practice Location Address
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Address Line | 520 NORTH FOURTH STREET
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City | PASCO
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State | WA
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Zip | 99320-5257
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Country | US
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Telephone | 253-838-6180
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Fax | 253-838-6418
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Provider Business Mailing Address
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Address Line | 505 S 336TH STREET SUITE 600
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City | FEDERAL WAY
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State | WA
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Zip | 98003-6328
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Country | US
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Telephone | 253-838-6180
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Fax | 253-838-6418
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | MD00030982
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License Number State | WA
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