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General NPI Number Information
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NPI Number | 1770911059
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Entity Type | Individual
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Provider Name | MORGAN FOWLER M.A,. BCBA
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Gender | Female
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Dates
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Enumeration Date | 10/23/2013
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Last Update Date | 09/07/2021
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Provider Practice Location Address
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Address Line | 1310 W SLAUGHTER LN
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City | AUSTIN
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State | TX
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Zip | 78748-6556
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Country | US
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Telephone | 888-308-3728
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Fax | 630-405-1747
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Provider Business Mailing Address
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Address Line | 1210 ALDERSGATE RD
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City | LITTLE ROCK
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State | AR
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Zip | 72205-6606
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Country | US
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Telephone | 501-574-3053
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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 | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 1-13-13720
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License Number State |
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