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General NPI Number Information
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NPI Number | 1659466365
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Entity Type | Organization
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Legal Business Name | CHARLES A MORGAN MD PA
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Dates
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Enumeration Date | 10/04/2006
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Last Update Date | 06/29/2010
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Provider Practice Location Address
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Address Line | 380 SEMORAN COMMERCE PL # B STE 210
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City | APOPKA
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State | FL
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Zip | 32703-4654
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Country | US
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Telephone | 407-886-9807
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Fax | 407-886-9806
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Provider Business Mailing Address
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Address Line | PO BOX 2555
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City | APOPKA
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State | FL
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Zip | 32704-2555
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Country | US
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Telephone | 407-886-9807
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Fax | 407-886-9806
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Authorized Official
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Title or Position | PHYSICIAN OWNER
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Name | DR. CHARLES ALEX MORGAN
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Credential | MD
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Telephone | 407-886-9807
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207QG0300X
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Taxonomy Name | Geriatric Medicine (Family Medicine) Physician
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License Number | ME24104
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License Number State | FL
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