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General NPI Number Information
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NPI Number | 1053104380
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Entity Type | Individual
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Provider Name | MORGAN BRUMMIT APRN
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Gender | Female
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Dates
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Enumeration Date | 05/28/2025
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Last Update Date | 05/28/2025
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Provider Practice Location Address
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Address Line | 15800 87TH ST NE
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City | OTSEGO
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State | MN
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Zip | 55330-6546
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Country | US
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Telephone | 866-389-2727
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Fax |
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Provider Business Mailing Address
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Address Line | 294 EDDIE AVE
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City | DAYTONA BEACH
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State | FL
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Zip | 32117-4243
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Country | US
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Telephone | 904-238-6675
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 12634
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License Number State | MN
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