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General NPI Number Information
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NPI Number | 1285244178
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Entity Type | Individual
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Provider Name | MORGAN BLISS NOBLE APRN
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Gender | Female
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Dates
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Enumeration Date | 08/05/2020
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Last Update Date | 08/05/2020
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Provider Practice Location Address
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Address Line | 3644 HWY 18 BYPASS STE. B
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City | MANILA
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State | AR
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Zip | 72442-7244
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Country | US
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Telephone | 870-561-3300
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Fax | 870-561-3307
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Provider Business Mailing Address
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Address Line | P.O. BOX 910
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City | MANILA
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State | AR
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Zip | 72442
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Country | US
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Telephone | 870-561-3300
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Fax | 870-561-3307
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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 | 126243
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License Number State | AR
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