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General NPI Number Information
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NPI Number | 1205365905
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Entity Type | Individual
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Provider Name | REBECCA ANN MORGAN
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Gender | Female
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Dates
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Enumeration Date | 06/06/2017
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Last Update Date | 04/19/2023
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Provider Practice Location Address
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Address Line | 10555 MONTGOMERY BLVD NE BLDG 2
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City | ALBUQUERQUE
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State | NM
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Zip | 87111-3857
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Country | US
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Telephone | 505-503-9746
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Fax |
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Provider Business Mailing Address
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Address Line | 1816 DEVONRIDGE DR
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City | FUQUAY VARINA
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State | NC
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Zip | 27526-7654
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Country | US
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Telephone | 910-751-8387
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | M-09974
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License Number State | NM
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | C015838
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License Number State | NC
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