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General NPI Number Information
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NPI Number | 1467364042
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Entity Type | Individual
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Provider Name | MORGAN MIA LATORRE
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Gender | Female
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Dates
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Enumeration Date | 09/19/2026
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Last Update Date | 09/19/2026
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Provider Practice Location Address
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Address Line | 3901 BEAUBIEN ST
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City | DETROIT
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State | MI
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Zip | 48201-2119
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Country | US
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Telephone | 313-833-4490
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Fax |
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Provider Business Mailing Address
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Address Line | 27820 LAUREN ST S
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City | HARRISON TOWNSHIP
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State | MI
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Zip | 48045-6323
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Country | US
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Telephone |
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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 | 163WC0200X
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Taxonomy Name | Critical Care Medicine Registered Nurse
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License Number | 4704392400
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License Number State | MI
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