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General NPI Number Information
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NPI Number | 1598183766
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Entity Type | Individual
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Provider Name | MORGAN ANDREA VONLOH M.D.
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Gender | Female
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Dates
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Enumeration Date | 04/03/2014
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Last Update Date | 10/01/2024
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Provider Practice Location Address
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Address Line | 8301 VENICE AVE NE
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City | ALBUQUERQUE
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State | NM
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Zip | 87122-3626
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Country | US
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Telephone | 720-352-4004
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Fax |
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Provider Business Mailing Address
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Address Line | 8301 VENICE AVE NE
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City | ALBUQUERQUE
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State | NM
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Zip | 87122-3626
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Country | US
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Telephone | 720-352-4004
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | MD2019-0507
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License Number State | NM
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Taxonomy #2
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 333879
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License Number State | LA
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Taxonomy #3
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 35.146187
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License Number State | OH
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Taxonomy #4
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | ME158850
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License Number State | FL
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Taxonomy #5
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 59016
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License Number State | AZ
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