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General NPI Number Information
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NPI Number | 1770260374
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Entity Type | Individual
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Provider Name | SIMONE ISABELLA MORGAN AUD
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Gender | Female
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Dates
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Enumeration Date | 07/05/2023
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Last Update Date | 07/05/2023
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Provider Practice Location Address
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Address Line | 5105 N ARMENIA AVE
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City | TAMPA
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State | FL
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Zip | 33603-1405
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Country | US
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Telephone | 813-879-8045
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Fax |
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Provider Business Mailing Address
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Address Line | 6421 CONGRESS AVE STE 113
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City | BOCA RATON
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State | FL
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Zip | 33487-2858
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Country | US
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Telephone | 813-879-8045
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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 | 231H00000X
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Taxonomy Name | Audiologist
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License Number | AY2745
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License Number State | FL
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