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NPI 1558339770

NPI 1558339770 : MICHAEL ALLEN MORGENSTERN PA-C : LEVITTOWN, PA

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General NPI Number Information
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    NPI Number           |    1558339770
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    Entity Type          |    Individual 
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    Provider Name        |    MICHAEL ALLEN MORGENSTERN PA-C
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    03/14/2006
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    Last Update Date     |    07/08/2007
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Provider Practice Location Address
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    Address Line         |    2346 TRENTON RD 
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    City                 |    LEVITTOWN
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    State                |    PA
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    Zip                  |    19056-1423
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    Country              |    US
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    Telephone            |    215-945-1800
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    Fax                  |    215-945-0569
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Provider Business Mailing Address
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    Address Line         |    1466 BROOK LN 
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    City                 |    JAMISON
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    State                |    PA
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    Zip                  |    18929-1404
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    Country              |    US
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    Telephone            |    215-491-7137
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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        |    363A00000X
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    Taxonomy Name        |    Physician Assistant
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    License Number       |    OA000287L
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    License Number State |    PA
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