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General NPI Number Information
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NPI Number | 1558598193
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Entity Type | Individual
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Provider Name | MELISSA ALLYN MORGAN D.O.
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Gender | Female
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Dates
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Enumeration Date | 06/22/2009
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Last Update Date | 05/29/2020
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Provider Practice Location Address
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Address Line | 2855 GULF TO BAY BLVD APT 9303
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City | CLEARWATER
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State | FL
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Zip | 33759-4057
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Country | US
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Telephone | 305-905-2539
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Fax | 727-437-7586
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Provider Business Mailing Address
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Address Line | 2855 GULF TO BAY BLVD APT 9303
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City | CLEARWATER
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State | FL
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Zip | 33759-4057
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Country | US
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Telephone | 305-905-2539
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Fax | 727-437-7586
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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 | 259569-1
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 2083P0500X
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Taxonomy Name | Preventive Medicine/Occupational Environmental Medicine Physician
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License Number | OS12912
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License Number State | FL
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