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General NPI Number Information
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NPI Number | 1376366088
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Entity Type | Individual
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Provider Name | MORGAN MARIE SEGRIN CRNA
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Gender | Female
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Dates
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Enumeration Date | 11/02/2024
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Last Update Date | 02/04/2025
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Provider Practice Location Address
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Address Line | 255 W LANCASTER AVE
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City | PAOLI
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State | PA
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Zip | 19301-1763
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Country | US
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Telephone | 484-565-1000
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Fax |
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Provider Business Mailing Address
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Address Line | 1578 HIGHPOINT LN
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City | ASTON
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State | PA
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Zip | 19014-1017
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Country | US
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Telephone | 864-430-4814
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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 | 163WC0200X
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Taxonomy Name | Critical Care Medicine Registered Nurse
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License Number | 26NR24920500
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 163WC0200X
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Taxonomy Name | Critical Care Medicine Registered Nurse
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License Number | RN672773
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 163WC0200X
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Taxonomy Name | Critical Care Medicine Registered Nurse
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License Number | L1-0053876
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License Number State | DE
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Taxonomy #4
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 152567
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License Number State | PA
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