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General NPI Number Information
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NPI Number | 1003732991
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Entity Type | Individual
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Provider Name | MATTHEW RYAN MORGAN PA-C
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Gender | Male
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Dates
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Enumeration Date | 06/25/2026
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Last Update Date | 06/25/2026
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Provider Practice Location Address
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Address Line | 77 LINCOLN BLVD STE 1
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City | LINCOLN
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State | CA
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Zip | 95648-7422
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Country | US
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Telephone | 916-258-2751
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Fax | 916-258-7172
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Provider Business Mailing Address
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Address Line | PO BOX 72061
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City | DAVIS
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State | CA
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Zip | 95617-6061
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Country | US
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Telephone | 916-258-2751
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Fax | 916-258-7172
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA68565
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License Number State | CA
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