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General NPI Number Information
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NPI Number | 1679874051
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Entity Type | Individual
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Provider Name | JOHANNA MOROFSKI PA
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Gender | Female
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Dates
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Enumeration Date | 11/16/2010
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Last Update Date | 04/21/2017
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Provider Practice Location Address
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Address Line | 1326 SEVEN OAKES RD
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City | ESCONDIDO
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State | CA
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Zip | 92026-2306
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Country | US
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Telephone | 760-703-6063
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Fax |
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Provider Business Mailing Address
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Address Line | 499 N EL CAMINO REAL
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City | ENCINITAS
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State | CA
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Zip | 92024-1366
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Country | US
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Telephone | 760-436-6000
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | PA19835
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License Number State | CA
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