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General NPI Number Information
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NPI Number | 1508399049
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Entity Type | Individual
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Provider Name | MORGAN M JAYAPRABHU FNP-C
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Gender | Female
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Dates
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Enumeration Date | 04/11/2017
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Last Update Date | 07/11/2026
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Provider Practice Location Address
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Address Line | 2717 SUMMERHILL RD
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City | TEXARKANA
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State | TX
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Zip | 75503-3957
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Country | US
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Telephone | 903-792-1404
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Fax | 903-792-2681
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Provider Business Mailing Address
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Address Line | 2717 SUMMERHILL RD
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City | TEXARKANA
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State | TX
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Zip | 75503-3957
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Country | US
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Telephone | 903-792-1404
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Fax | 903-792-2681
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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 | 364SW0102X
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Taxonomy Name | Women's Health Clinical Nurse Specialist
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License Number | RN721334
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | AP133920
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License Number State | TX
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