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General NPI Number Information
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NPI Number | 1699767921
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Entity Type | Organization
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Legal Business Name | HEATHER MORGAN MD INC
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Dates
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Enumeration Date | 08/23/2005
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 138 S MAIN ST
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City | CENTERVILLE
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State | OH
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Zip | 45458-2368
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Country | US
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Telephone | 937-439-1797
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Fax | 937-439-2329
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Provider Business Mailing Address
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Address Line | 138 S MAIN ST
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City | CENTERVILLE
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State | OH
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Zip | 45458-2368
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Country | US
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Telephone | 937-439-1797
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Fax | 937-439-2329
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Authorized Official
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Title or Position | DIRECTOR
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Name | HEATHER MORGAN
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Credential | MD
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Telephone | 934-439-1797
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 35025878M
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License Number State | OH
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