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General NPI Number Information
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NPI Number | 1043436132
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Entity Type | Individual
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Provider Name | JEFFREY A MORGAN M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/17/2007
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Last Update Date | 12/01/2023
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Provider Practice Location Address
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Address Line | 2799 W GRAND BLVD K-14, RM 1435
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City | DETROIT
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State | MI
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Zip | 48202-2608
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Country | US
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Telephone | 313-790-2741
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Fax | 313-916-2687
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Provider Business Mailing Address
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Address Line | 2799 W GRAND BLVD K-14, RM 1435
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City | DETROIT
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State | MI
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Zip | 48202-2608
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Country | US
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Telephone | 313-790-2741
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Fax | 313-916-2687
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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 | 208G00000X
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Taxonomy Name | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
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License Number | 1285
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 208G00000X
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Taxonomy Name | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
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License Number | 4301093300
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License Number State | MI
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