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NPI 1659609931

NPI 1659609931 : ALEXEI MOROZOV MD-PHD : NEW YORK, NY

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General NPI Number Information
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    NPI Number           |    1659609931
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    Entity Type          |    Individual 
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    Provider Name        |    ALEXEI MOROZOV MD-PHD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    11/25/2009
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    Last Update Date     |    11/25/2009
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Provider Practice Location Address
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    Address Line         |    1275 YORK AVE # 8 
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    City                 |    NEW YORK
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    State                |    NY
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    Zip                  |    10065-6007
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    Country              |    US
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    Telephone            |    917-375-1112
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1275 YORK AVE # 8 
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    City                 |    NEW YORK
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    State                |    NY
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    Zip                  |    10065-6007
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    Country              |    US
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    Telephone            |    917-375-1112
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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        |    207RX0202X
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    Taxonomy Name        |    Medical Oncology Physician
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    License Number       |    239738
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    License Number State |    NY
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