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General NPI Number Information
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NPI Number | 1043125529
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Entity Type | Individual
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Provider Name | MORGAN KOUTCH PA
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Gender | Female
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Dates
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Enumeration Date | 08/18/2026
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Last Update Date | 08/18/2026
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Provider Practice Location Address
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Address Line | 119 NEVADA DR
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City | KULPMONT
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State | PA
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Zip | 17834-1960
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Country | US
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Telephone | 570-373-1250
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Fax |
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Provider Business Mailing Address
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Address Line | 60 PAUL ST
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City | ASHLAND
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State | PA
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Zip | 17921-9508
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Country | US
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Telephone |
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | MA068118
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License Number State | PA
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