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General NPI Number Information
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NPI Number | 1942040498
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Entity Type | Individual
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Provider Name | DAVID PHILIP MORIN DO
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Gender | Male
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Dates
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Enumeration Date | 05/30/2024
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Last Update Date | 05/30/2024
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Provider Practice Location Address
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Address Line | 3607 RIVERA AVE
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City | EL PASO
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State | TX
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Zip | 79905-2415
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Country | US
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Telephone | 915-465-1191
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Fax |
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Provider Business Mailing Address
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Address Line | 3261 FAIRWAY DR
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City | LAS CRUCES
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State | NM
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Zip | 88011-4957
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Country | US
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Telephone | 602-397-1175
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | BP10087834
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License Number State | TX
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