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General NPI Number Information
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NPI Number | 1104968049
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Entity Type | Individual
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Provider Name | CHARLES PATRICK MORGAN O.D.
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Gender | Male
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Dates
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Enumeration Date | 02/13/2007
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Last Update Date | 12/15/2009
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Provider Practice Location Address
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Address Line | 1275 YORK RD
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City | GETTYSBURG
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State | PA
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Zip | 17325-7565
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Country | US
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Telephone | 717-334-3848
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Fax |
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Provider Business Mailing Address
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Address Line | 1781 HANOVER RD
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City | GETTYSBURG
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State | PA
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Zip | 17325-7716
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Country | US
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Telephone | 717-337-1571
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | OEG000377
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License Number State | PA
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