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General NPI Number Information
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NPI Number | 1689801946
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Entity Type | Individual
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Provider Name | CHARLIE ANN MOREHEAD M.D.
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Gender | Female
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Dates
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Enumeration Date | 06/15/2009
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Last Update Date | 08/20/2025
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Provider Practice Location Address
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Address Line | 1815 10TH ST
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City | FLORESVILLE
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State | TX
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Zip | 78114-2765
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Country | US
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Telephone | 830-251-0860
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Fax | 830-251-0866
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Provider Business Mailing Address
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Address Line | 1815 10TH ST
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City | FLORESVILLE
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State | TX
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Zip | 78114-2765
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Country | US
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Telephone | 830-251-0860
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Fax | 830-251-0866
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | Q4215
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | BP10035461
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License Number State | TX
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