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General NPI Number Information
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NPI Number | 1336931617
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Entity Type | Individual
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Provider Name | MORGAN BAILEY SULLENS ATC
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Gender | Female
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Dates
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Enumeration Date | 05/21/2025
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Last Update Date | 05/21/2025
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Provider Practice Location Address
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Address Line | 3033 N 44TH ST STE 360
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City | PHOENIX
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State | AZ
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Zip | 85018-7276
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Country | US
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Telephone | 602-648-5444
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Fax |
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Provider Business Mailing Address
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Address Line | 2252 N 44TH ST APT 2165
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City | PHOENIX
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State | AZ
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Zip | 85008-7222
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Country | US
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Telephone | 951-403-4969
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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 | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number |
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License Number State | AZ
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