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General NPI Number Information
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NPI Number | 1700076221
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Entity Type | Individual
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Provider Name | MS. ELSIE MORALES
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Gender | Female
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Dates
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Enumeration Date | 07/31/2007
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Last Update Date | 07/31/2007
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Provider Practice Location Address
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Address Line | 1231 N TUTTLE AVE
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City | SARASOTA
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State | FL
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Zip | 34237-3116
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Country | US
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Telephone | 941-366-0134
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Fax | 941-552-0354
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Provider Business Mailing Address
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Address Line | 1231 N TUTTLE AVE
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City | SARASOTA
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State | FL
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Zip | 34237-3116
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Country | US
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Telephone | 941-366-0134
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Fax | 941-552-0354
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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 | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State | FL
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