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General NPI Number Information
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NPI Number | 1285146217
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Entity Type | Individual
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Provider Name | KIANA MORGAN FUSSNER PA-C
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Gender | Female
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Dates
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Enumeration Date | 10/31/2017
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Last Update Date | 03/13/2025
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Provider Practice Location Address
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Address Line | 285 N WASHINGTON ST
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City | ROCKVILLE
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State | MD
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Zip | 20850-1763
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Country | US
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Telephone | 301-250-1628
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Fax |
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Provider Business Mailing Address
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Address Line | 8911 N CAPITAL OF TEXAS HWY STE 1110
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City | AUSTIN
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State | TX
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Zip | 78759-7203
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Country | US
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Telephone | 919-818-4061
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 0110005971
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 0010-07715
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | C0008860
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License Number State | MD
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