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General NPI Number Information
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NPI Number | 1225185838
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Entity Type | Individual
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Provider Name | BENJAMIN PHILIP MORGAN D.C.
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Gender | Male
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Dates
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Enumeration Date | 01/04/2007
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Last Update Date | 02/02/2012
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Provider Practice Location Address
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Address Line | 240 N 14TH ST
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City | HAMILTON
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State | IL
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Zip | 62341-1615
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Country | US
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Telephone | 217-847-3132
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Fax | 217-847-3132
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Provider Business Mailing Address
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Address Line | 240 N 14TH ST
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City | HAMILTON
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State | IL
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Zip | 62341-1615
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Country | US
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Telephone | 217-847-3132
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 038-005033
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License Number State | IL
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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 | A5339
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License Number State | IA
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