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General NPI Number Information
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NPI Number | 1386208783
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Entity Type | Organization
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Legal Business Name | MOR-NUCO ENTERPRISES INC.
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Dates
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Enumeration Date | 05/01/2019
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Last Update Date | 08/20/2025
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Provider Practice Location Address
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Address Line | 1201 CUMBERLAND AVE
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City | WEST LAFAYETTE
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State | IN
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Zip | 47906-1359
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Country | US
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Telephone | 765-464-1583
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Fax | 765-464-8769
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Provider Business Mailing Address
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Address Line | 1201 CUMBERLAND AVE
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City | WEST LAFAYETTE
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State | IN
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Zip | 47906-1359
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Country | US
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Telephone | 765-464-1583
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Fax | 765-464-8769
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Authorized Official
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Title or Position | LABORATORY DIRECTOR
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Name | DAVID JAMES TAGGART
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Credential | PHD
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Telephone | 608-469-9526
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number |
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License Number State |
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