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General NPI Number Information
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NPI Number | 1770076226
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Entity Type | Individual
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Provider Name | BRINESHA A MORGAN
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Gender | Female
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Dates
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Enumeration Date | 06/10/2018
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Last Update Date | 01/30/2019
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Provider Practice Location Address
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Address Line | 1320 N MORRISON BLVD STE 105&106
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City | HAMMOND
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State | LA
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Zip | 70401-2242
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Country | US
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Telephone | 985-551-5155
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Fax |
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Provider Business Mailing Address
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Address Line | 12375 JACKSON DR APT A
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City | HAMMOND
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State | LA
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Zip | 70401-6043
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Country | US
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Telephone | 504-307-2416
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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 | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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