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General NPI Number Information
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NPI Number | 1861105330
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Entity Type | Individual
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Provider Name | MRS. IRIS RENEE MORGAN
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Gender | Female
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Dates
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Enumeration Date | 12/29/2022
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Last Update Date | 12/29/2022
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Provider Practice Location Address
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Address Line | 5511 HIGHWAY 280 STE 104
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City | BIRMINGHAM
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State | AL
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Zip | 35242-1506
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Country | US
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Telephone | 205-438-6406
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Fax | 888-502-4077
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Provider Business Mailing Address
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Address Line | 380 LAKE KATHRYN DR
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City | STERRETT
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State | AL
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Zip | 35147-8068
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Country | US
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Telephone | 205-913-7622
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Fax | 888-502-4077
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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 | 224900000X
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Taxonomy Name | Mastectomy Fitter
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License Number |
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License Number State |
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