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General NPI Number Information
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NPI Number | 1821249970
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Entity Type | Organization
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Legal Business Name | ROBERT L. MORGAN, M.D., P.C.
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Dates
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Enumeration Date | 10/07/2008
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Last Update Date | 10/07/2008
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Provider Practice Location Address
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Address Line | 432 BOLAND ST P O BOX C
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City | SPARTA
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State | GA
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Zip | 31087-2041
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Country | US
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Telephone | 706-444-7917
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Fax | 706-444-0420
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Provider Business Mailing Address
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Address Line | 432 BOLAND ST P O BOX C
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City | SPARTA
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State | GA
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Zip | 31087-2041
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Country | US
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Telephone | 706-444-7917
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Fax | 706-444-0420
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ROBERT L. MORGAN
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Credential | M.D.
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Telephone | 706-444-7917
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | 031639
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License Number State | GA
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