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General NPI Number Information
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NPI Number | 1538967856
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Entity Type | Organization
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Legal Business Name | MORGAN SLOAN LLC
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Dates
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Enumeration Date | 03/04/2025
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Last Update Date | 03/04/2025
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Provider Practice Location Address
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Address Line | 15 82ND DR STE 100
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City | GLADSTONE
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State | OR
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Zip | 97027-2550
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Country | US
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Telephone | 503-905-2526
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Fax |
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Provider Business Mailing Address
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Address Line | 9066 SE BULL RUN RD
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City | CORBETT
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State | OR
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Zip | 97019-9517
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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 | OWNER
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Name | MORGAN SLOAN
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Credential | FNP
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Telephone | 503-905-2526
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number |
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License Number State |
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