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General NPI Number Information
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NPI Number | 1780042093
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Entity Type | Organization
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Legal Business Name | DARLENE MORRISSEY, D.O., A MEDICAL CORPORATION
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Dates
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Enumeration Date | 02/01/2016
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Last Update Date | 02/01/2016
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Provider Practice Location Address
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Address Line | 1513 S GRAND AVE SUITE 400
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City | LOS ANGELES
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State | CA
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Zip | 90015-3070
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Country | US
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Telephone | 213-742-6400
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Fax | 213-765-4080
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Provider Business Mailing Address
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Address Line | 1513 S GRAND AVE SUITE 400
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City | LOS ANGELES
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State | CA
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Zip | 90015-3070
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Country | US
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Telephone | 213-742-6400
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Fax | 213-765-4080
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Authorized Official
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Title or Position | OWNER
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Name | DARLENE MORRISSEY
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Credential | D.O.
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Telephone | 215-518-9140
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VF0040X
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Taxonomy Name | Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
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License Number | 20A14075
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License Number State | CA
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