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General NPI Number Information
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NPI Number | 1336213800
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Entity Type | Individual
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Provider Name | ROGER MORGAN M.D., PHD
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Gender | Male
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Dates
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Enumeration Date | 11/17/2006
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Last Update Date | 05/23/2025
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Provider Practice Location Address
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Address Line | 198 S COX ST
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City | MEMPHIS
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State | TN
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Zip | 38104-4301
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Country | US
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Telephone | 901-335-9394
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Fax |
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Provider Business Mailing Address
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Address Line | 198 S COX ST
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City | MEMPHIS
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State | TN
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Zip | 38104-4301
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Country | US
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Telephone | 901-335-9394
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 95-7P
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License Number State | AR
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Taxonomy #2
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | P2187
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License Number State | TN
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