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General NPI Number Information
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NPI Number | 1477239135
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Entity Type | Individual
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Provider Name | SUSAN K MORGAN APRN-CNP
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Gender | Female
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Dates
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Enumeration Date | 06/26/2023
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Last Update Date | 07/15/2024
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Provider Practice Location Address
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Address Line | 2508 HUMMINGBIRD LN
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City | PONCA CITY
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State | OK
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Zip | 74604-2817
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Country | US
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Telephone | 406-853-1215
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Fax |
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Provider Business Mailing Address
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Address Line | 2508 HUMMINGBIRD LANE
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City | PONCA CITY
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State | OK
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Zip | 74604
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Country | US
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Telephone | 406-853-1215
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | NUR-APRN-LIC-218939
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License Number State | MT
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Taxonomy #3
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 214146
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License Number State | OK
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