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General NPI Number Information
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NPI Number | 1720667165
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Entity Type | Individual
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Provider Name | MORGAN OSTRANDER LMT
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Gender | Female
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Dates
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Enumeration Date | 04/05/2021
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Last Update Date | 04/05/2021
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Provider Practice Location Address
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Address Line | 545 LIT WAY
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City | ASHLAND
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State | OR
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Zip | 97520-2401
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Country | US
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Telephone | 541-292-3281
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Fax |
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Provider Business Mailing Address
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Address Line | 289 AVERY ST. APT. A
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City | ASHLAND
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State | OR
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Zip | 97520
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Country | US
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Telephone | 812-250-4166
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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 | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | 25946
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License Number State | OR
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