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General NPI Number Information
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NPI Number | 1700308160
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Entity Type | Individual
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Provider Name | MORGAN RAE KAMOROFF M.S.,CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 07/07/2017
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Last Update Date | 07/05/2025
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Provider Practice Location Address
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Address Line | 17100 E SHEA BLVD STE 600
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City | FOUNTAIN HILLS
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State | AZ
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Zip | 85268-6663
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Country | US
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Telephone | 480-837-4565
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Fax |
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Provider Business Mailing Address
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Address Line | 6817 SOUTHPOINT PKWY STE 1602
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City | JACKSONVILLE
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State | FL
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Zip | 32216-6298
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Country | US
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Telephone | 904-945-7556
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Fax | 904-379-0113
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | SA17633
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License Number State | FL
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