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General NPI Number Information
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NPI Number | 1073669362
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Entity Type | Individual
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Provider Name | JONATHAN LEE MORREN PT
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Gender | Male
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Dates
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Enumeration Date | 01/27/2007
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Last Update Date | 04/08/2025
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Provider Practice Location Address
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Address Line | 950 ISABEL DR
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City | LEBANON
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State | PA
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Zip | 17042-7482
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Country | US
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Telephone | 717-270-8841
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Fax |
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Provider Business Mailing Address
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Address Line | 2096 MEADOW RD
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City | MOUNT JOY
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State | PA
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Zip | 17552-9724
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Country | US
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Telephone | 207-812-2957
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT025142
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License Number State | PA
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