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General NPI Number Information
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NPI Number | 1659873966
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Entity Type | Individual
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Provider Name | MORGAN TAYLOR PT, DPT, ATC, LAT
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Gender | Female
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Dates
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Enumeration Date | 03/02/2018
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Last Update Date | 08/17/2021
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Provider Practice Location Address
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Address Line | 551 BALTIMORE ANNAPOLIS BLVD # D
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City | SEVERNA PARK
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State | MD
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Zip | 21146-3809
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Country | US
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Telephone | 443-441-0676
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Fax |
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Provider Business Mailing Address
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Address Line | 1506 CIRCLE DR
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City | ANNAPOLIS
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State | MD
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Zip | 21409-5831
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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 | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number | A0000967
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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