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General NPI Number Information
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NPI Number | 1740929421
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Entity Type | Individual
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Provider Name | ANNA MORGAN OT
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Gender | Female
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Dates
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Enumeration Date | 06/01/2022
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Last Update Date | 11/06/2024
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Provider Practice Location Address
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Address Line | 4012 N 9TH AVE
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City | PENSACOLA
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State | FL
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Zip | 32503-2824
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Country | US
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Telephone | 850-807-4050
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Fax |
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Provider Business Mailing Address
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Address Line | 11945 SAN JOSE BLVD STE 300
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City | JACKSONVILLE
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State | FL
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Zip | 32223-1627
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Country | US
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Telephone | 904-396-1725
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Fax | 904-396-4893
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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 | OT254422
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License Number State | FL
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