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General NPI Number Information
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NPI Number | 1043685878
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Entity Type | Organization
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Legal Business Name | MORGAN INTEGRATED CHIROPRACTIC SERVICES
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Dates
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Enumeration Date | 12/04/2015
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Last Update Date | 09/09/2025
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Provider Practice Location Address
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Address Line | 630 KNABB RD
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City | ELMA
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State | NY
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Zip | 14059-9434
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Country | US
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Telephone | 716-604-6250
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Fax |
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Provider Business Mailing Address
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Address Line | 630 KNABB RD
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City | ELMA
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State | NY
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Zip | 14059
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Country | US
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Telephone | 716-604-6250
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Fax |
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Authorized Official
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Title or Position | CHIROPRACTOR
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Name | SHAUN MORGAN
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Credential | DC
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Telephone | 716-604-6250
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 012500
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License Number State | NY
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