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General NPI Number Information
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NPI Number | 1255216685
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Entity Type | Individual
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Provider Name | MORGAN SHORE
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Gender | Female
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Dates
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Enumeration Date | 08/06/2025
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Last Update Date | 02/18/2026
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Provider Practice Location Address
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Address Line | 72 MANLY ST
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City | PORTSMOUTH
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State | VA
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Zip | 23702-1047
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Country | US
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Telephone | 757-353-0299
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Fax |
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Provider Business Mailing Address
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Address Line | 945 N CENTRAL AVE
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City | WOODMERE
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State | NY
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Zip | 11598-1604
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Country | US
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Telephone | 757-353-0299
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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 |
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