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General NPI Number Information
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NPI Number | 1598280877
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Entity Type | Individual
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Provider Name | MICHELLE ELIZABETH MORALES OD
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Gender | Female
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Dates
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Enumeration Date | 08/08/2017
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Last Update Date | 02/13/2026
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Provider Practice Location Address
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Address Line | 1800 FOURTH ST
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City | LIVERMORE
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State | CA
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Zip | 94550
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Country | US
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Telephone | 925-447-3883
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Fax | 602-626-7389
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Provider Business Mailing Address
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Address Line | 1800 FOURTH ST
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City | LIVERMORE
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State | CA
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Zip | 94550
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Country | US
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Telephone | 925-447-3883
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Fax | 602-626-7389
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 2210
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | OPT34441TLG
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License Number State | CA
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