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General NPI Number Information
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NPI Number | 1568992113
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Entity Type | Individual
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Provider Name | ELIZABETH ANNE TRENT MOROSKI MD
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Gender | Female
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Dates
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Enumeration Date | 06/15/2017
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Last Update Date | 05/01/2025
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Provider Practice Location Address
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Address Line | 11100 WARNER AVE STE 368
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City | FOUNTAIN VALLEY
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State | CA
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Zip | 92708-7514
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Country | US
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Telephone | 714-241-1777
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Fax |
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Provider Business Mailing Address
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Address Line | 905 1/2 OCEAN AVE
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City | SEAL BEACH
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State | CA
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Zip | 90740-7939
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Country | US
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Telephone | 864-238-5367
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 81585
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 131177
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License Number State | CA
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