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Individual
JUSTIN MORAR
Active
Individual
JUSTIN MORAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1609
NE
207QA0505X
Adult Medicine Physician
1609
NE
390200000X
Student in an Organized Health Care Education/Training Program
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10026480100
—
NE
05
—
1043604614
—
IA
05
—
47068731734
—
NE
05
—
47068731741
—
NE
05
—
47068731742
—
NE
05
—
47068731749
—
NE
Enumeration date
03/23/2015
Last updated
07/20/2018
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