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General NPI Number Information
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NPI Number | 1497424055
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Entity Type | Individual
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Provider Name | HEATHER DAWN MORGAN
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Gender | Female
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Dates
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Enumeration Date | 09/08/2021
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Last Update Date | 09/08/2021
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Provider Practice Location Address
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Address Line | 454 HYDEN RIDGE RD
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City | SOMERSET
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State | KY
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Zip | 42501-4410
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Country | US
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Telephone | 606-271-0948
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Fax |
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Provider Business Mailing Address
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Address Line | 607 CLIFTY ST
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City | SOMERSET
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State | KY
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Zip | 42503-1765
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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 | 164W00000X
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Taxonomy Name | Licensed Practical Nurse
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License Number | 2043998
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License Number State | KY
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