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General NPI Number Information
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NPI Number | 1457246126
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Entity Type | Individual
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Provider Name | DOUGLAS EDWARD MORGAN
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Gender | Male
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Dates
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Enumeration Date | 06/11/2025
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Last Update Date | 06/11/2025
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Provider Practice Location Address
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Address Line | 38 BIERCE AVE
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City | DAYTON
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State | OH
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Zip | 45403-2606
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Country | US
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Telephone | 937-242-2045
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Fax |
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Provider Business Mailing Address
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Address Line | 3008 CLEARSTREAM WAY
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City | ENGLEWOOD
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State | OH
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Zip | 45315-8729
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Country | US
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Telephone | 937-232-8077
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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 | 347C00000X
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Taxonomy Name | Private Vehicle
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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 | 3747P1801X
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Taxonomy Name | Personal Care Attendant
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License Number |
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License Number State | OH
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