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General NPI Number Information
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NPI Number | 1225408586
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Entity Type | Individual
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Provider Name | MERLE MORGAN L.AC, DIP AC
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Gender | Female
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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 | 12871 W. RUNWAY RD UNIT 1
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City | PLAYA VISTA
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State | CA
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Zip | 90094
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Country | US
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Telephone | 310-699-9616
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Fax |
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Provider Business Mailing Address
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Address Line | 12871 W. RUNWAY ROAD UNIT 1
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City | PLAYA VISTA
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State | CA
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Zip | 90094
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Country | US
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Telephone | 310-699-9616
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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 | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | AC8782
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License Number State | CA
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