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General NPI Number Information
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NPI Number | 1861453367
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Entity Type | Individual
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Provider Name | BRUCE Z MORGENSTERN M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/01/2006
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Last Update Date | 06/02/2016
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Provider Practice Location Address
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Address Line | 10530 DISCOVERY DR
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City | LAS VEGAS
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State | NV
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Zip | 89135-3050
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Country | US
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Telephone | 702-802-2842
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Fax |
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Provider Business Mailing Address
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Address Line | 10530 DISCOVERY DR
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City | LAS VEGAS
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State | NV
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Zip | 89135-3050
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Country | US
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Telephone | 702-802-2842
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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 | 2080P0210X
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Taxonomy Name | Pediatric Nephrology Physician
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License Number | 29720
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 2080P0210X
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Taxonomy Name | Pediatric Nephrology Physician
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License Number | 16134
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License Number State | NV
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