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General NPI Number Information
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NPI Number | 1659658615
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Entity Type | Organization
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Legal Business Name | MORGAN FAMILY PRACTICE, LLC
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Dates
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Enumeration Date | 11/04/2011
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Last Update Date | 11/04/2011
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Provider Practice Location Address
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Address Line | 141 GOLFVIEW DR NE
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City | ARAB
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State | AL
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Zip | 35016-5473
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Country | US
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Telephone | 256-586-1212
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Fax | 256-931-2270
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Provider Business Mailing Address
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Address Line | 141 GOLFVIEW DR NE
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City | ARAB
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State | AL
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Zip | 35016-5473
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Country | US
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Telephone | 256-586-1212
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Fax | 256-931-2270
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Authorized Official
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Title or Position | PRACTICE MANAGER
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Name | KATHY W MORGAN
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Credential |
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Telephone | 256-586-1212
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | MD18286
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License Number State | AL
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