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General NPI Number Information
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NPI Number | 1740588102
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Entity Type | Organization
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Legal Business Name | CHARLES K. MORRIS, MD, FACC, INC
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Dates
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Enumeration Date | 03/09/2011
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Last Update Date | 03/09/2011
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Provider Practice Location Address
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Address Line | 2100 WEBSTER ST 521
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City | SAN FRANCISCO
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State | CA
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Zip | 94115-2373
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Country | US
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Telephone | 415-885-8650
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Fax | 415-885-8640
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Provider Business Mailing Address
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Address Line | 2100 WEBSTER ST 521
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City | SAN FRANCISCO
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State | CA
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Zip | 94115-2373
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Country | US
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Telephone | 415-885-8650
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Fax | 415-885-8640
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Authorized Official
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Title or Position | PRACTICE MANAGER
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Name | PATRICIA QUETEL
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Credential |
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Telephone | 415-902-8578
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | G61056
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | G61056
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License Number State | CA
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