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General NPI Number Information
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NPI Number | 1669422283
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Entity Type | Individual
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Provider Name | MARILYN KAY MORGAN N.P.
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Gender | Female
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Dates
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Enumeration Date | 05/12/2006
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Last Update Date | 06/17/2019
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Provider Practice Location Address
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Address Line | 3650 N ALPINE RD
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City | ROCKFORD
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State | IL
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Zip | 61114-4806
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Country | US
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Telephone | 815-877-7408
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Fax |
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Provider Business Mailing Address
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Address Line | 1354 CLARK LAKE RD
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City | BRIGHTON
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State | MI
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Zip | 48114-8917
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Country | US
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Telephone | 810-229-7846
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Fax | 810-229-7846
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 041322787
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 2002026665
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License Number State | MO
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Taxonomy #3
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 4704145479
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License Number State | MI
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Taxonomy #4
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | 041322787
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License Number State | IL
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