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General NPI Number Information
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NPI Number | 1689280968
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Entity Type | Individual
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Provider Name | MORGAN DANIELLE PLUMMER PT, DPT
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Gender | Female
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Dates
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Enumeration Date | 09/22/2020
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Last Update Date | 04/13/2021
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Provider Practice Location Address
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Address Line | 330 MISSION RD
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City | GLENDALE
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State | CA
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Zip | 91205-3328
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Country | US
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Telephone | 614-546-7339
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Fax |
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Provider Business Mailing Address
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Address Line | 327 N BOYLSTON ST APT 221
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City | LOS ANGELES
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State | CA
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Zip | 90012-4678
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Country | US
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Telephone | 614-546-7339
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 299112
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License Number State | CA
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