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General NPI Number Information
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NPI Number | 1780141234
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Entity Type | Individual
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Provider Name | MORGAN TAYLOR FUNK AGPCNP-BC
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Gender | Female
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Dates
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Enumeration Date | 02/20/2019
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Last Update Date | 10/10/2025
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Provider Practice Location Address
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Address Line | 375 N WALL ST STE P510
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City | KANKAKEE
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State | IL
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Zip | 60901-3492
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Country | US
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Telephone | 815-935-0750
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Fax | 815-935-8797
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Provider Business Mailing Address
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Address Line | 225 W 2ND ST
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City | MOMENCE
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State | IL
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Zip | 60954-1521
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Country | US
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Telephone | 815-954-9419
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 209018480
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | 209018480
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License Number State | IL
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