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General NPI Number Information
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NPI Number | 1043030828
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Entity Type | Individual
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Provider Name | NINA Y MORGAN CRNP
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Gender | Female
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Dates
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Enumeration Date | 10/15/2024
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Last Update Date | 10/15/2024
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Provider Practice Location Address
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Address Line | 1000 E MOUNTAIN BLVD
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City | WILKES BARRE
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State | PA
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Zip | 18711-0001
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Country | US
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Telephone | 570-808-7300
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Fax |
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Provider Business Mailing Address
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Address Line | 114 TERRACE DR
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City | WHITE HAVEN
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State | PA
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Zip | 18661-2427
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Country | US
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Telephone | 321-960-2197
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | SP029973
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License Number State | PA
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