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General NPI Number Information
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NPI Number | 1386219681
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Entity Type | Individual
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Provider Name | MORGAN MACLEAN-BERAN DPM
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Gender | Female
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Dates
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Enumeration Date | 05/20/2021
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Last Update Date | 09/25/2024
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Provider Practice Location Address
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Address Line | 2500 W STRUB RD STE 100
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City | SANDUSKY
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State | OH
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Zip | 44870-5390
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Country | US
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Telephone | 419-627-1471
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Fax |
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Provider Business Mailing Address
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Address Line | 36819 SANDY RIDGE DR
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City | NORTH RIDGEVILLE
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State | OH
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Zip | 44039-5834
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Country | US
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Telephone | 440-204-9692
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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 | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | 36.004173
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License Number State | OH
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