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NPI 1942966106

NPI 1942966106 : JOSEPH HARMON MORELL CRNA : SANTA MARIA, CA

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General NPI Number Information
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    NPI Number           |    1942966106
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    Entity Type          |    Individual 
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    Provider Name        |    JOSEPH HARMON MORELL CRNA
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    11/11/2021
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    Last Update Date     |    11/03/2026
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Provider Practice Location Address
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    Address Line         |    1300 E CYPRESS ST STE E 
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    City                 |    SANTA MARIA
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    State                |    CA
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    Zip                  |    93454-4728
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    Country              |    US
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    Telephone            |    805-361-5088
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    Fax                  |    805-361-5079
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Provider Business Mailing Address
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    Address Line         |    PO BOX 2288 
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    City                 |    AVILA BEACH
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    State                |    CA
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    Zip                  |    93424-2288
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    Country              |    US
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    Telephone            |    805-245-8008
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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        |    367500000X
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    Taxonomy Name        |    Certified Registered Nurse Anesthetist
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    License Number       |    95001619
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    License Number State |    CA
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Taxonomy #2
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    Taxonomy Code        |    367500000X
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    Taxonomy Name        |    Certified Registered Nurse Anesthetist
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    License Number       |    APRN11049831
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    License Number State |    FL
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