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General NPI Number Information
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NPI Number | 1598157026
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Entity Type | Individual
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Provider Name | MORGAN BESTENLEHNER PA-C, ATC
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Gender | Female
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Dates
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Enumeration Date | 02/20/2015
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Last Update Date | 03/23/2020
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Provider Practice Location Address
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Address Line | 110 IRVING ST NW
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City | WASHINGTON
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State | DC
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Zip | 20010-3017
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Country | US
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Telephone | 202-877-7000
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Fax |
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Provider Business Mailing Address
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Address Line | 131 BONNIE BLUE LN
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City | WHITLEYVILLE
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State | TN
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Zip | 38588-7126
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Country | US
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Telephone | 129-408-6856
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 171W00000X
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Taxonomy Name | Contractor
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License Number | 096003594
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 171W00000X
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Taxonomy Name | Contractor
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License Number | 1445-39
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License Number State | WI
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