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General NPI Number Information
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NPI Number | 1992827091
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Entity Type | Individual
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Provider Name | GUILLERMO F MOREL MD
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Gender | Male
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Dates
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Enumeration Date | 04/06/2007
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Last Update Date | 03/25/2008
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Provider Practice Location Address
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Address Line | 1515 US HIGHWAY 1 SUITE 204
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City | SEBASTIAN
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State | FL
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Zip | 32958-1612
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Country | US
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Telephone | 772-589-0300
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Fax | 772-589-4550
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Provider Business Mailing Address
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Address Line | 1515 US HIGHWAY 1 SUITE 204
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City | SEBASTIAN
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State | FL
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Zip | 32958-1612
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Country | US
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Telephone | 772-589-0300
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Fax | 772-589-4550
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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 | 207RG0300X
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Taxonomy Name | Geriatric Medicine (Internal Medicine) Physician
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License Number | ME91772
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License Number State | FL
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