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NPI 1730578477

NPI 1730578477 : MEGAN LEE MORGAN FNP : MISSOULA, MT

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General NPI Number Information
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    NPI Number           |    1730578477
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    Entity Type          |    Individual 
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    Provider Name        |    MEGAN LEE MORGAN FNP
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    01/19/2015
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    Last Update Date     |    11/17/2023
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Provider Practice Location Address
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    Address Line         |    500 W BROADWAY 
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    City                 |    MISSOULA
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    State                |    MT
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    Zip                  |    59802-4096
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    Country              |    US
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    Telephone            |    406-329-5615
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    Fax                  |    406-329-2791
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Provider Business Mailing Address
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    Address Line         |    500 W BROADWAY 
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    City                 |    MISSOULA
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    State                |    MT
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    Zip                  |    59802-4096
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    Country              |    US
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    Telephone            |    406-329-5615
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    Fax                  |    406-329-2791
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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        |    363LF0000X
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    Taxonomy Name        |    Family Nurse Practitioner
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    License Number       |    AP08109
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    License Number State |    LA
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Taxonomy #2
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    Taxonomy Code        |    363LF0000X
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    Taxonomy Name        |    Family Nurse Practitioner
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    License Number       |    126555
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    License Number State |    MT
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