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General NPI Number Information
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NPI Number | 1699933788
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Entity Type | Individual
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Provider Name | KELLY A MORGENROTH D.C.
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Gender | Female
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Dates
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Enumeration Date | 05/27/2008
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Last Update Date | 05/11/2021
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Provider Practice Location Address
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Address Line | 10599 GA HIGHWAY 231
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City | DAVISBORO
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State | GA
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Zip | 31018-5400
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Country | US
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Telephone | 404-429-5050
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Fax |
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Provider Business Mailing Address
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Address Line | 1620 WINDCLIFF DR SE
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City | MARIETTA
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State | GA
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Zip | 30067-8360
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Country | US
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Telephone | 404-429-5050
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | CHIR008284
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License Number State | GA
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