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General NPI Number Information
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NPI Number | 1639450802
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Entity Type | Individual
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Provider Name | MORGAN C SMITH RN, PHN, CNS, CDE
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Gender | Male
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Dates
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Enumeration Date | 09/01/2011
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Last Update Date | 06/12/2020
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Provider Practice Location Address
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Address Line | 6991 BALBOA AVE RM 70
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City | SAN DIEGO
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State | CA
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Zip | 92111-3447
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Country | US
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Telephone | 858-496-8232
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Fax | 858-496-8234
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Provider Business Mailing Address
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Address Line | 6991 BALBOA AVE RM 70
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City | SAN DIEGO
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State | CA
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Zip | 92111-3447
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Country | US
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Telephone | 858-496-8232
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Fax | 858-496-8234
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 731422
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 163WD0400X
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Taxonomy Name | Diabetes Educator Registered Nurse
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License Number | 731422
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 364SC1501X
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Taxonomy Name | Community Health/Public Health Clinical Nurse Specialist
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License Number | 3512
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 163WC1500X
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Taxonomy Name | Community Health Registered Nurse
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License Number | 74202
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License Number State | CA
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