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General NPI Number Information
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NPI Number | 1023282035
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Entity Type | Individual
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Provider Name | MARY ALICE H MORGAN O. T. R.
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Gender | Female
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Dates
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Enumeration Date | 04/22/2008
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Last Update Date | 02/05/2014
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Provider Practice Location Address
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Address Line | 1101 7TH ST
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City | BROWNWOOD
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State | TX
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Zip | 76801-4123
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Country | US
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Telephone | 325-642-8523
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Fax |
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Provider Business Mailing Address
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Address Line | 401 WILD TREE LN
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City | EARLY
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State | TX
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Zip | 76802-3854
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Country | US
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Telephone | 325-642-8523
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 108560
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License Number State | TX
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