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General NPI Number Information
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NPI Number | 1861313546
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Entity Type | Individual
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Provider Name | CARL MARTIN MORAWSKI
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Gender | Male
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Dates
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Enumeration Date | 07/21/2026
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Last Update Date | 07/22/2026
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Provider Practice Location Address
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Address Line | 34333 BUTTERNUT HOLLOW LN
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City | PINE CITY
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State | MN
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Zip | 55063-5339
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Country | US
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Telephone | 320-385-4477
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Fax | 320-216-7638
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Provider Business Mailing Address
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Address Line | 34333 BUTTERNUT HOLLOW LN
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City | PINE CITY
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State | MN
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Zip | 55063-5339
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Country | US
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Telephone | 320-385-4477
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Fax | 320-216-7638
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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 | 172A00000X
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Taxonomy Name | Driver
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License Number | 1669603742
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License Number State | MN
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