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General NPI Number Information
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NPI Number | 1528780905
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Entity Type | Organization
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Legal Business Name | MORGAN INTEGRATIVE NUTRITION & WELLNESS LLC
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Dates
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Enumeration Date | 09/13/2022
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Last Update Date | 09/23/2022
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Provider Practice Location Address
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Address Line | 19931 W KELLOGG DR UNIT A
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City | GODDARD
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State | KS
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Zip | 67052-8864
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Country | US
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Telephone | 316-351-8426
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Fax |
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Provider Business Mailing Address
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Address Line | 9 SHENANDOAH DR
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City | GODDARD
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State | KS
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Zip | 67052-9418
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Country | US
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Telephone | 316-215-4895
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Fax |
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Authorized Official
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Title or Position | DIEITITAN/OWNER
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Name | KATE MORGAN
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Credential | RDN
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Telephone | 316-215-4895
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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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 | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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