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General NPI Number Information
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NPI Number | 1225871551
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Entity Type | Individual
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Provider Name | MORGAN TYLER WAY
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Gender | Female
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Dates
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Enumeration Date | 06/14/2024
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Last Update Date | 06/14/2024
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Provider Practice Location Address
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Address Line | 201 SAINT CHARLES AVE STE 2500
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City | NEW ORLEANS
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State | LA
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Zip | 70170-2500
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Country | US
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Telephone | 877-418-2978
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Fax | 866-500-2186
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Provider Business Mailing Address
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Address Line | 432 E HICKORY ST
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City | PONCHATOULA
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State | LA
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Zip | 70454-2540
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Country | US
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Telephone | 662-607-7486
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State | LA
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