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General NPI Number Information
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NPI Number | 1396085601
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Entity Type | Individual
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Provider Name | MORGAN CAROL ROGNSTAD YERRY OTD, OTR/L
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Gender | Female
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Dates
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Enumeration Date | 02/22/2013
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Last Update Date | 10/24/2016
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Provider Practice Location Address
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Address Line | 1229 TOTEROS DR
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City | WAXHAW
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State | NC
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Zip | 28173-6950
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Country | US
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Telephone | 704-649-4509
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Fax |
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Provider Business Mailing Address
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Address Line | 430 QUEENS RD APT 721
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City | CHARLOTTE
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State | NC
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Zip | 28207-1457
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Country | US
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Telephone | 704-340-5845
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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 | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number | 8613
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License Number State | NC
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