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NPI 1760509327

NPI 1760509327 : JANNA DEHLER MORGAN P.T. : DECATUR, GA

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General NPI Number Information
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    NPI Number           |    1760509327
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    Entity Type          |    Individual 
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    Provider Name        |    JANNA DEHLER MORGAN P.T.
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    03/26/2007
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    Last Update Date     |    08/06/2008
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Provider Practice Location Address
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    Address Line         |    114 NEW ST SUITE I-2
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    City                 |    DECATUR
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    State                |    GA
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    Zip                  |    30030-4132
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    Country              |    US
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    Telephone            |    404-229-4874
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    PO BOX 3532 
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    City                 |    DECATUR
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    State                |    GA
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    Zip                  |    30031-3532
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    Country              |    US
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    Telephone            |    404-229-4874
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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        |    2251P0200X
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    Taxonomy Name        |    Pediatric Physical Therapist
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    License Number       |    001192
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    License Number State |    GA
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