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General NPI Number Information
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NPI Number | 1417027590
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Entity Type | Organization
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Legal Business Name | MORGANRAY INC
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Dates
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Enumeration Date | 11/08/2006
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Last Update Date | 06/10/2016
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Provider Practice Location Address
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Address Line | 3306 A ST
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City | LINCOLN
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State | NE
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Zip | 68510-4512
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Country | US
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Telephone | 402-476-6231
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Fax | 402-476-3775
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Provider Business Mailing Address
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Address Line | 3306 A ST
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City | LINCOLN
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State | NE
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Zip | 68510-4512
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Country | US
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Telephone | 402-476-6231
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Fax | 402-476-3775
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Authorized Official
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Title or Position | PRESIDENT
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Name | LYNDON LEITNER
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Credential | PHRMD
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Telephone | 303-902-1915
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 2771
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License Number State | NE
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