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General NPI Number Information
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NPI Number | 1518542844
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Entity Type | Individual
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Provider Name | MORGAN A STONEMAN FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 03/17/2021
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Last Update Date | 04/24/2021
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Provider Practice Location Address
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Address Line | 406 E ELM ST
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City | CARSON CITY
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State | MI
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Zip | 48811-9693
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Country | US
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Telephone | 989-584-3131
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Fax |
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Provider Business Mailing Address
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Address Line | 2861 W HUMPHREY RD
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City | ITHACA
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State | MI
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Zip | 48847-9609
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Country | US
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Telephone | 989-763-3942
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 4704306266
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 4704306266
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License Number State | MI
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