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General NPI Number Information
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NPI Number | 1659864718
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Entity Type | Individual
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Provider Name | MORGAN M EBELING DO
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Gender | Female
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Dates
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Enumeration Date | 06/12/2018
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Last Update Date | 04/03/2023
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Provider Practice Location Address
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Address Line | 190D SAUNDERSVILLE RD STE 2005
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City | HENDERSONVILLE
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State | TN
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Zip | 37075-1008
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Country | US
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Telephone | 615-567-4019
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Fax |
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Provider Business Mailing Address
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Address Line | 122 ERVIN ST
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City | HENDERSONVILLE
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State | TN
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Zip | 37075-3918
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Country | US
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Telephone | 517-270-1366
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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 | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | 4816
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License Number State | TN
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