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General NPI Number Information
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NPI Number | 1205943339
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Entity Type | Organization
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Legal Business Name | MORGAN CHIROPRATIC INC
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Dates
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Enumeration Date | 08/24/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1904 KIVA RD
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City | SANTA FE
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State | NM
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Zip | 87505
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Country | US
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Telephone | 505-820-0706
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Fax | 505-992-1151
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Provider Business Mailing Address
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Address Line | 1904 KIVA RD
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City | SANTA FE
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State | NM
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Zip | 87505
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Country | US
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Telephone | 505-820-0706
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Fax | 505-992-1151
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Authorized Official
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Title or Position | CHIROPRACTOR
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Name | MR. MARK ALLEN MORGAN
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Credential | DC
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Telephone | 505-820-0706
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 5725
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 1391
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License Number State | NM
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