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General NPI Number Information
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NPI Number | 1710384284
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Entity Type | Individual
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Provider Name | MORGAN ALISHA ALDRICH
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Gender | Female
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Dates
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Enumeration Date | 11/29/2014
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Last Update Date | 11/29/2014
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Provider Practice Location Address
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Address Line | 501 LEWIS ST
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City | BURLINGTON
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State | WI
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Zip | 53105-1021
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Country | US
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Telephone | 262-758-1233
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Fax |
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Provider Business Mailing Address
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Address Line | 501 LEWIS ST
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City | BURLINGTON
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State | WI
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Zip | 53105-1021
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Country | US
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Telephone | 262-758-1233
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 075811
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License Number State | IA
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Taxonomy #2
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 056.010817
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State | IN
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