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General NPI Number Information
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NPI Number | 1932479458
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Entity Type | Individual
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Provider Name | BRANDICE MORISOLI PHARMD
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Gender | Female
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Dates
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Enumeration Date | 01/02/2012
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Last Update Date | 03/19/2019
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Provider Practice Location Address
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Address Line | 931 LOMAS SANTA FE DR
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City | SOLANA BEACH
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State | CA
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Zip | 92075
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Country | US
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Telephone | 858-481-2894
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Fax | 858-481-4093
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Provider Business Mailing Address
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Address Line | 1581 CORTE ORCHIDIA
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City | CARLSBAD
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State | CA
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Zip | 92011-3503
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Country | US
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Telephone | 559-917-4850
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 65696
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License Number State | CA
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