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General NPI Number Information
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NPI Number | 1366477630
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Entity Type | Individual
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Provider Name | CARA MONETTE MORGAN MD
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Gender | Female
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Dates
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Enumeration Date | 07/12/2006
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Last Update Date | 09/04/2024
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Provider Practice Location Address
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Address Line | 4541 N STATE ST
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City | JACKSON
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State | MS
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Zip | 39206-5308
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Country | US
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Telephone | 601-533-7017
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Fax | 769-333-9151
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Provider Business Mailing Address
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Address Line | PO BOX 746085
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City | ATLANTA
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State | GA
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Zip | 30374-6085
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Country | US
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Telephone | 773-352-1515
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Fax | 312-929-0373
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 023787
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License Number State | LA
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 68833
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License Number State | GA
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 25532
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License Number State | MS
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