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General NPI Number Information
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NPI Number | 1083123152
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Entity Type | Individual
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Provider Name | MORGAN LARANGO PA-AA
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Gender | Female
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Dates
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Enumeration Date | 09/21/2017
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Last Update Date | 03/27/2025
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Provider Practice Location Address
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Address Line | 2540 WINDY HILL RD SE
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City | MARIETTA
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State | GA
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Zip | 30067-8605
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Country | US
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Telephone | 470-644-1274
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Fax |
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Provider Business Mailing Address
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Address Line | 2532 N DECATUR RD APT 1514
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City | DECATUR
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State | GA
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Zip | 30033-6181
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Country | US
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Telephone |
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 8530
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 367H00000X
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Taxonomy Name | Anesthesiologist Assistant
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License Number | 8530
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License Number State | GA
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Taxonomy #3
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Taxonomy Code | 367H00000X
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Taxonomy Name | Anesthesiologist Assistant
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License Number | 008530
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License Number State | GA
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