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General NPI Number Information
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NPI Number | 1801433776
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Entity Type | Individual
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Provider Name | EDGART MORFA APRN
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Gender | Male
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Dates
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Enumeration Date | 12/10/2019
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Last Update Date | 12/10/2019
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Provider Practice Location Address
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Address Line | 3100 NW 72ND AVE STE 125
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City | MIAMI
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State | FL
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Zip | 33122-1335
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Country | US
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Telephone | 305-392-0279
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Fax | 305-456-3630
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Provider Business Mailing Address
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Address Line | 27527 SW 133RD PLACE
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City | HOMESTEAD
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State | FL
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Zip | 33032
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Country | US
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Telephone | 786-366-2072
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 9388076
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License Number State | FL
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