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General NPI Number Information
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NPI Number | 1205206455
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Entity Type | Individual
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Provider Name | CRAIG MORGAN
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Gender | Male
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Dates
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Enumeration Date | 09/30/2015
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Last Update Date | 09/30/2015
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Provider Practice Location Address
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Address Line | 450 E 23RD ST
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City | FREMONT
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State | NE
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Zip | 68025-2303
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Country | US
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Telephone | 402-941-7266
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Fax |
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Provider Business Mailing Address
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Address Line | 828 S 191ST AVE
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City | ELKHORN
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State | NE
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Zip | 68022-5697
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Country | US
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Telephone |
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 13428
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License Number State | NE
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