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General NPI Number Information
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NPI Number | 1619628351
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Entity Type | Individual
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Provider Name | CARLY ROSE MORGAN PA-C
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Gender | Female
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Dates
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Enumeration Date | 01/14/2022
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Last Update Date | 01/14/2022
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Provider Practice Location Address
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Address Line | 3626 ROUTE 1
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City | PRINCETON
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State | NJ
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Zip | 08540-5922
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Country | US
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Telephone | 609-945-7373
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Fax |
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Provider Business Mailing Address
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Address Line | 1801 OLD LINCOLN HWY APT 54
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City | LANGHORNE
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State | PA
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Zip | 19047-3152
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Country | US
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Telephone | 908-787-3078
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | MA063293
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | OA005970
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 25MP00670600
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License Number State | NJ
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