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General NPI Number Information
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NPI Number | 1689039745
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Entity Type | Organization
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Legal Business Name | LOUIS J. MORLEDGE MD PLLC
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Dates
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Enumeration Date | 12/16/2015
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Last Update Date | 12/16/2015
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Provider Practice Location Address
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Address Line | 150 E 58TH ST 18 FL
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City | NEW YORK
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State | NY
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Zip | 10155-0002
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Country | US
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Telephone | 212-583-2830
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Fax | 212-583-0444
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Provider Business Mailing Address
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Address Line | 150 E 58TH ST 18 FL
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City | NEW YORK
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State | NY
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Zip | 10155-0002
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Country | US
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Telephone | 212-583-2830
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Fax | 212-583-0444
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Authorized Official
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Title or Position | OWNER
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Name | LOUIS MORLEDGE
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Credential | M.D.
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Telephone | 212-583-2830
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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 | 019049
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License Number State | NY
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