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General NPI Number Information
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NPI Number | 1790185148
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Entity Type | Individual
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Provider Name | DANIELLE KRISTIN MORGAN PT, DPT
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Gender | Female
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Dates
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Enumeration Date | 09/03/2014
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Last Update Date | 10/02/2019
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Provider Practice Location Address
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Address Line | 96 UTICA RD
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City | CLINTON
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State | NY
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Zip | 13323-1515
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Country | US
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Telephone | 315-272-6520
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Fax |
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Provider Business Mailing Address
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Address Line | 96 UTICA RD
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City | CLINTON
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State | NY
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Zip | 13323-1515
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Country | US
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Telephone | 315-272-6520
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 036796-1
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License Number State | NY
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