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General NPI Number Information
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NPI Number | 1225175813
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Entity Type | Organization
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Legal Business Name | TRINA J. MORGAN P.A.
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Dates
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Enumeration Date | 01/31/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 4809 NW 19TH ST
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City | COCONUT CREEK
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State | FL
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Zip | 33063-7752
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Country | US
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Telephone | 954-483-6639
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Fax |
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Provider Business Mailing Address
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Address Line | 4809 NW 19TH ST
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City | COCONUT CREEK
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State | FL
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Zip | 33063-7752
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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 | OWNER
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Name | MRS. TRINA J MORGAN
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Credential | M.S. CCC-SLP
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Telephone | 954-483-6639
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | SA 6742
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License Number State | FL
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