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General NPI Number Information
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NPI Number | 1053586099
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Entity Type | Individual
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Provider Name | BETTY D MORGAN
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Gender | Female
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Dates
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Enumeration Date | 04/29/2008
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Last Update Date | 04/29/2008
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Provider Practice Location Address
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Address Line | 6286 BRIARCREST AVE
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City | MEMPHIS
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State | TN
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Zip | 38120-4023
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Country | US
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Telephone | 901-755-5300
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Fax | 901-753-9659
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Provider Business Mailing Address
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Address Line | 8090 WALNUT RUN RD
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City | CORDOVA
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State | TN
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Zip | 38018-6362
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Country | US
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Telephone | 901-755-5300
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Fax | 901-753-9659
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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 | 231H00000X
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Taxonomy Name | Audiologist
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License Number | A0000000168
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License Number State | TN
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