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General NPI Number Information
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NPI Number | 1740200385
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Entity Type | Individual
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Provider Name | ROBERT ALAN MORRIS PA-C
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Gender | Male
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Dates
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Enumeration Date | 07/19/2006
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Last Update Date | 02/26/2014
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Provider Practice Location Address
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Address Line | 1110 5TH AVE S APT 405
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City | EDMONDS
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State | WA
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Zip | 98020-4607
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Country | US
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Telephone | 360-220-0236
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Fax |
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Provider Business Mailing Address
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Address Line | 1110 5TH AVE S APT 405
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City | EDMONDS
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State | WA
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Zip | 98020-4607
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Country | US
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Telephone | 360-220-0236
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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 | PA 10001567
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License Number State | WA
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