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General NPI Number Information
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NPI Number | 1578256129
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Entity Type | Individual
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Provider Name | MORGAN WHITNEY FULMER
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Gender | Female
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Dates
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Enumeration Date | 05/31/2023
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Last Update Date | 01/20/2025
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Provider Practice Location Address
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Address Line | 7335 W 33RD ST N
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City | WICHITA
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State | KS
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Zip | 67205-9368
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Country | US
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Telephone | 316-866-7067
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Fax | 844-788-4005
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Provider Business Mailing Address
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Address Line | 1010 N RIDGE RD APT 1212
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City | WICHITA
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State | KS
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Zip | 67212-6072
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Country | US
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Telephone | 785-561-0410
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 11-07372
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License Number State | KS
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