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General NPI Number Information
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NPI Number | 1093965618
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Entity Type | Organization
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Legal Business Name | MORGAN CD LOTT GROUP I
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Dates
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Enumeration Date | 09/19/2008
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Last Update Date | 09/19/2008
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Provider Practice Location Address
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Address Line | 1809 PEACHTREE LN
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City | BOWIE
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State | MD
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Zip | 20721-3069
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Country | US
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Telephone | 301-390-3128
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Fax |
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Provider Business Mailing Address
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Address Line | 1809 PEACHTREE LN
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City | BOWIE
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State | MD
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Zip | 20721-3069
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Country | US
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Telephone | 301-390-3128
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Fax |
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Authorized Official
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Title or Position | OWNER/EXECUTIVE OFFICER/CFO
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Name | LAURA CHERYL HUDSON
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Credential |
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Telephone | 301-390-3128
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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