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General NPI Number Information
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NPI Number | 1922262112
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Entity Type | Organization
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Legal Business Name | RICHARD H. MORSE, MD A PROF. MED. CORP.
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Dates
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Enumeration Date | 07/16/2008
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Last Update Date | 12/18/2009
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Provider Practice Location Address
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Address Line | 4417 DANNEEL ST
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City | NEW ORLEANS
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State | LA
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Zip | 70115-5501
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Country | US
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Telephone | 504-891-2354
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Fax |
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Provider Business Mailing Address
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Address Line | 4417 DANNEEL ST
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City | NEW ORLEANS
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State | LA
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Zip | 70115-5501
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Country | US
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Telephone | 504-891-2354
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Fax | 504-348-8215
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Authorized Official
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Title or Position | INDEPENDENT CONTRACTOR
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Name | JUDY MALLERY
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Credential |
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Telephone | 504-891-2354
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number | 03781R
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License Number State | LA
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