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General NPI Number Information
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NPI Number | 1720902430
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Entity Type | Individual
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Provider Name | MORGAN ALLYNN ILSLEY
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Gender | Female
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Dates
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Enumeration Date | 08/05/2026
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Last Update Date | 08/05/2026
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Provider Practice Location Address
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Address Line | 2972 CARTER HILL RD
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City | MONTGOMERY
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State | AL
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Zip | 36106-2531
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Country | US
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Telephone | 334-288-8358
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Fax |
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Provider Business Mailing Address
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Address Line | 101 BELSER BLVD
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City | PIKE ROAD
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State | AL
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Zip | 36064-2725
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Country | US
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Telephone | 901-634-1428
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PTH12779
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License Number State | AL
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