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General NPI Number Information
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NPI Number | 1689173031
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Entity Type | Individual
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Provider Name | KEVIN NICHOLAS MORGAN MD
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Gender | Male
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Dates
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Enumeration Date | 02/12/2018
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Last Update Date | 07/29/2024
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Provider Practice Location Address
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Address Line | 16513 S US HIGHWAY 301
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City | WIMAUMA
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State | FL
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Zip | 33598-2032
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Country | US
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Telephone | 813-685-0827
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Fax | 813-633-2587
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Provider Business Mailing Address
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Address Line | 5015 W NASSAU ST
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City | TAMPA
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State | FL
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Zip | 33607-3814
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Country | US
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Telephone | 813-356-0196
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Fax | 813-356-0197
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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 | 208800000X
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Taxonomy Name | Urology Physician
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License Number | 159661
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License Number State | FL
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