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General NPI Number Information
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NPI Number | 1598197493
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Entity Type | Organization
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Legal Business Name | MORGAN ANDERSON-REED, LLC
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Dates
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Enumeration Date | 08/01/2013
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Last Update Date | 08/01/2013
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Provider Practice Location Address
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Address Line | 1564 N DAMEN AVE
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City | CHICAGO
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State | IL
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Zip | 60622-2100
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Country | US
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Telephone | 312-488-9831
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Fax |
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Provider Business Mailing Address
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Address Line | 544 LOCUST ST
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City | HAMMOND
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State | IN
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Zip | 46324-1516
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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 | OWNER/LMT
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Name | MORGAN ANDERSON-REED
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Credential |
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Telephone | 414-364-1057
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | 227011703
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License Number State | IL
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