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General NPI Number Information
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NPI Number | 1548269871
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Entity Type | Individual
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Provider Name | GREGORY MORGAN MD
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Gender | Male
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Dates
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Enumeration Date | 07/19/2005
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Last Update Date | 03/18/2021
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Provider Practice Location Address
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Address Line | 300 E 3RD ST RM 302
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City | NORTH PLATTE
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State | NE
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Zip | 69101-4026
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Country | US
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Telephone | 308-532-6906
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Fax | 308-532-6964
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Provider Business Mailing Address
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Address Line | 5816 POPPLETON AVE
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City | OMAHA
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State | NE
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Zip | 68106-1657
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Country | US
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Telephone | 402-556-4725
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Fax | 308-532-6964
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 423688
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License Number State | KS
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