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General NPI Number Information
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NPI Number | 1730262635
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Entity Type | Individual
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Provider Name | MORGAN D EATON MA, PT
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Gender | Male
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Dates
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Enumeration Date | 10/23/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 5210 N ROAD 68 STE F
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City | PASCO
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State | WA
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Zip | 99301-9276
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Country | US
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Telephone | 509-543-7377
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Fax | 509-543-7677
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Provider Business Mailing Address
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Address Line | 875 SWIFT BLVD
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City | RICHLAND
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State | WA
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Zip | 99352-3592
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Country | US
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Telephone | 509-943-8977
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Fax | 509-943-6151
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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 | PT00006101
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License Number State | WA
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