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General NPI Number Information
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NPI Number | 1144857285
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Entity Type | Individual
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Provider Name | MORGAN ELLIS DECKER MD
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Gender | Female
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Dates
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Enumeration Date | 03/26/2020
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Last Update Date | 01/02/2026
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Provider Practice Location Address
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Address Line | 16835 KERCHEVAL AVE
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City | GROSSE POINTE PARK
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State | MI
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Zip | 48230-1532
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Country | US
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Telephone | 313-777-7546
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Fax |
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Provider Business Mailing Address
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Address Line | 1725 W HARRISON ST STE 264
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City | CHICAGO
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State | IL
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Zip | 60612-3844
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Country | US
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Telephone | 312-942-2195
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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 | 207ND0101X
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Taxonomy Name | MOHS-Micrographic Surgery Physician
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License Number | 4301513314
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | 4301513314
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License Number State | MI
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