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General NPI Number Information
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NPI Number | 1639406572
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Entity Type | Organization
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Legal Business Name | THE MORELAN GROUP, INC
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Dates
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Enumeration Date | 11/13/2009
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Last Update Date | 11/13/2009
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Provider Practice Location Address
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Address Line | 2202 RACQUET CLUB CT
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City | ARLINGTON
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State | TX
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Zip | 76017-3717
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Country | US
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Telephone | 817-832-1124
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Fax | 817-987-0810
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Provider Business Mailing Address
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Address Line | 2202 RACQUET CLUB CT
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City | ARLINGTON
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State | TX
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Zip | 76017-3717
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Country | US
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Telephone | 817-832-1124
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Fax | 817-987-0810
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. MARY CAROL MORELAN
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Credential | PT, ATP
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Telephone | 817-832-1124
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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 | 1090603
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License Number State | TX
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