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General NPI Number Information
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NPI Number | 1770579757
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Entity Type | Individual
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Provider Name | EDWARD ANDREW MORALES MD
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Gender | Male
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Dates
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Enumeration Date | 09/23/2005
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Last Update Date | 11/04/2025
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Provider Practice Location Address
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Address Line | 1860 SHAWANO AVE
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City | GREEN BAY
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State | WI
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Zip | 54303-2667
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Country | US
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Telephone | 920-496-4700
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 19070
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City | GREEN BAY
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State | WI
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Zip | 54307-9070
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Country | US
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Telephone | 920-496-4700
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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 | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number | G81819
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number | 64537-20
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License Number State | WI
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