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General NPI Number Information
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NPI Number | 1548488216
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Entity Type | Individual
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Provider Name | CHARLES MICHAEL MORLEY N.P.
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Gender | Male
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Dates
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Enumeration Date | 04/20/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 100 PROFESSIONAL PL SUITE 207
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City | CARROLLTON
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State | GA
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Zip | 30117-3874
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Country | US
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Telephone | 770-838-8367
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Fax | 770-838-8110
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Provider Business Mailing Address
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Address Line | 94 RED LEVEL WALK
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City | NEWNAN
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State | GA
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Zip | 30265
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Country | US
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Telephone | 404-547-8484
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | RN114968NP
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License Number State | GA
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