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General NPI Number Information
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NPI Number | 1538656491
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Entity Type | Individual
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Provider Name | MORGAN TEVLIN ANP
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Gender | Female
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Dates
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Enumeration Date | 04/17/2018
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Last Update Date | 10/11/2019
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Provider Practice Location Address
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Address Line | 2920 N CASCADE AVE STE 301
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City | COLORADO SPRINGS
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State | CO
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Zip | 80907-6265
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Country | US
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Telephone | 719-636-1201
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Fax | 719-955-0986
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Provider Business Mailing Address
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Address Line | 2920 N CASCADE AVE STE 301
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City | COLORADO SPRINGS
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State | CO
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Zip | 80907-6265
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Country | US
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Telephone | 719-636-1201
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Fax | 719-955-0986
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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 | APN.0993743-NP
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License Number State | CO
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