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General NPI Number Information
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NPI Number | 1932315157
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Entity Type | Organization
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Legal Business Name | PHILIP J. MORGAN, M.D., APC
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Dates
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Enumeration Date | 05/15/2007
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Last Update Date | 04/01/2008
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Provider Practice Location Address
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Address Line | 16500 VENTURA BLVD SUITE 375
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City | ENCINO
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State | CA
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Zip | 91436-2011
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Country | US
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Telephone | 818-788-0910
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Fax | 818-788-0934
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Provider Business Mailing Address
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Address Line | 16500 VENTURA BLVD SUITE 375
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City | ENCINO
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State | CA
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Zip | 91436-2011
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Country | US
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Telephone | 818-788-0910
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Fax | 818-788-0934
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Authorized Official
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Title or Position | OWNER
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Name | DR. PHILIP J. MORGAN
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Credential | M.D.
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Telephone | 818-788-0910
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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 | G56468
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License Number State | CA
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