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General NPI Number Information
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NPI Number | 1871523548
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Entity Type | Individual
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Provider Name | MORSE KILBURN UPSHAW D.P.M.
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Gender | Male
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Dates
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Enumeration Date | 07/05/2006
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Last Update Date | 02/15/2023
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Provider Practice Location Address
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Address Line | 301 S FAIR OAKS AVE STE 207
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City | PASADENA
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State | CA
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Zip | 91105-2562
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Country | US
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Telephone | 626-405-1031
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Fax | 626-405-1037
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Provider Business Mailing Address
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Address Line | 301 S FAIR OAKS AVE STE 207
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City | PASADENA
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State | CA
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Zip | 91105-2562
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Country | US
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Telephone | 626-405-1031
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Fax | 626-405-1037
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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 | 213EP1101X
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Taxonomy Name | Primary Podiatric Medicine Podiatrist
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License Number | E2383
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 213ES0131X
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Taxonomy Name | Foot Surgery Podiatrist
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License Number | E2383
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License Number State | CA
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