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General NPI Number Information
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NPI Number | 1003556747
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Entity Type | Individual
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Provider Name | BREANNA MORGAN CNP
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Gender | Female
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Dates
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Enumeration Date | 03/30/2022
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Last Update Date | 03/30/2022
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Provider Practice Location Address
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Address Line | 280 PATTONSVILLE RD
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City | JACKSON
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State | OH
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Zip | 45640-9452
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Country | US
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Telephone | 740-395-8801
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Fax |
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Provider Business Mailing Address
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Address Line | 20844 STATE ROUTE 124
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City | WELLSTON
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State | OH
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Zip | 45692-9512
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Country | US
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Telephone | 740-418-1519
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | APRN.CNP.0031064
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License Number State | OH
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