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General NPI Number Information
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NPI Number | 1639959182
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Entity Type | Individual
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Provider Name | MORGAN LANE MAGEE APRN FNP
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Gender | Female
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Dates
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Enumeration Date | 10/03/2023
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Last Update Date | 11/19/2024
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Provider Practice Location Address
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Address Line | 40 BALDWIN AVE
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City | LUGOFF
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State | SC
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Zip | 29078-9406
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Country | US
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Telephone | 803-408-3262
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Fax |
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Provider Business Mailing Address
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Address Line | 40 BALDWIN AVE
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City | LUGOFF
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State | SC
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Zip | 29078-9406
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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 |
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 29230
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License Number State | SC
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