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General NPI Number Information
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NPI Number | 1114134988
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Entity Type | Individual
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Provider Name | MEGAN L MORRIS ATC,OTC
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Gender | Female
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Dates
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Enumeration Date | 05/17/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 2109 N PATTERSON ST STE A
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City | VALDOSTA
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State | GA
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Zip | 31602-2946
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Country | US
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Telephone | 229-247-5225
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Fax |
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Provider Business Mailing Address
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Address Line | 4804 HUNTERS XING
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City | VALDOSTA
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State | GA
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Zip | 31602-4940
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Country | US
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Telephone | 229-247-4970
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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 | 225500000X
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Taxonomy Name | Respiratory/Developmental/Rehabilitative Specialist/Technologist
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License Number | AT000972
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License Number State | GA
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