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General NPI Number Information
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NPI Number | 1982975512
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Entity Type | Individual
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Provider Name | MORGAN RAQUEL WINOKUR PAC
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Gender | Female
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Dates
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Enumeration Date | 01/12/2012
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Last Update Date | 04/25/2016
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Provider Practice Location Address
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Address Line | 1001 N FEDERAL HWY #354
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City | HALLANDALE BEACH
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State | FL
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Zip | 33009-2400
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Country | US
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Telephone | 800-488-0279
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Fax | 866-902-8817
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Provider Business Mailing Address
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Address Line | 1001 N FEDERAL HWY #354
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City | HALLANDALE BEACH
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State | FL
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Zip | 33009-2400
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Country | US
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Telephone | 800-488-0279
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Fax | 866-902-8817
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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 | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number | 4947
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number | 9107851
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License Number State | FL
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