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General NPI Number Information
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NPI Number | 1710269014
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Entity Type | Organization
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Legal Business Name | KEVIN P. MORRISSEY MD PC
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Dates
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Enumeration Date | 09/13/2011
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Last Update Date | 09/20/2011
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Provider Practice Location Address
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Address Line | 50 E 69TH ST
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City | NEW YORK
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State | NY
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Zip | 10021-5002
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Country | US
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Telephone | 212-744-0060
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Fax | 212-717-4862
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Provider Business Mailing Address
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Address Line | 50 E 69TH ST
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City | NEW YORK
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State | NY
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Zip | 10021-5002
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Country | US
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Telephone | 212-744-0060
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Fax | 212-717-4862
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Authorized Official
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Title or Position | MANAGER
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Name | WENDE OCHOA
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Credential |
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Telephone | 212-744-0060
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 099143
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License Number State | NY
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