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General NPI Number Information
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NPI Number | 1669478137
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Entity Type | Individual
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Provider Name | ROBERT G. MORASCH M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/21/2005
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Last Update Date | 12/16/2024
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Provider Practice Location Address
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Address Line | 1622 HOWARD ST
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City | WALLA WALLA
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State | WA
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Zip | 99362-4153
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Country | US
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Telephone | 509-520-5520
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Fax |
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Provider Business Mailing Address
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Address Line | 1644 PLAZA WAY # 427
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City | WALLA WALLA
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State | WA
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Zip | 99362-4325
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Country | US
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Telephone | 949-933-9644
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Fax | 888-571-1801
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | MD00041082
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License Number State | WA
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