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General NPI Number Information
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NPI Number | 1609683291
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Entity Type | Individual
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Provider Name | MORGAN HECK
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Gender | Female
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Dates
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Enumeration Date | 12/17/2024
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Last Update Date | 12/17/2024
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Provider Practice Location Address
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Address Line | 15800 W MAIN ST
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City | DALEVILLE
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State | IN
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Zip | 47334-9358
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Country | US
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Telephone | 765-610-6714
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Fax | 765-356-9624
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Provider Business Mailing Address
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Address Line | 3621 MARION LN
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City | LAS CRUCES
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State | NM
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Zip | 88012-7579
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Country | US
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Telephone | 50-592-9620
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State |
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