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General NPI Number Information
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NPI Number | 1114038189
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Entity Type | Individual
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Provider Name | SHANNON SIMPSON MORGAN MD
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Gender | Female
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Dates
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Enumeration Date | 08/31/2006
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Last Update Date | 04/16/2015
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Provider Practice Location Address
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Address Line | 200 MEDICAL CENTER DR SW
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City | FORT PAYNE
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State | AL
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Zip | 35968-3458
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Country | US
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Telephone | 256-997-2150
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Fax | 256-997-2373
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Provider Business Mailing Address
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Address Line | 200 CORPORATE BLVD
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City | LAFAYETTE
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State | LA
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Zip | 70508-3870
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Country | US
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Telephone | 337-521-2759
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Fax | 337-593-1838
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 060539
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | MD.22836
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License Number State | AL
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