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General NPI Number Information
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NPI Number | 1225982739
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Entity Type | Individual
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Provider Name | MORGAN ALEXANDRA TAKACS DNP, FNP-C
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Gender | Female
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Dates
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Enumeration Date | 02/23/2026
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Last Update Date | 02/23/2026
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Provider Practice Location Address
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Address Line | 1405 N GREEN MOUNT RD STE 240
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City | O FALLON
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State | IL
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Zip | 62269-3494
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Country | US
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Telephone | 618-632-9000
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Fax |
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Provider Business Mailing Address
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Address Line | 416 DUFFY DR
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City | MARINE
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State | IL
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Zip | 62061-4400
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Country | US
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Telephone | 410-814-9346
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 2026001361
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 209034509
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License Number State | IL
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