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General NPI Number Information
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NPI Number | 1548679178
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Entity Type | Individual
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Provider Name | DONALD MORGAN
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Gender | Male
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Dates
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Enumeration Date | 08/07/2014
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Last Update Date | 08/07/2014
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Provider Practice Location Address
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Address Line | 1349 BURTON RD
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City | BOONVILLE
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State | NC
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Zip | 27011-8609
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Country | US
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Telephone | 336-793-7959
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Fax |
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Provider Business Mailing Address
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Address Line | 1349 BURTON RD
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City | BOONVILLE
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State | NC
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Zip | 27011-8609
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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 |
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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 | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | A4466
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License Number State | NC
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