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General NPI Number Information
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NPI Number | 1861277543
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Entity Type | Individual
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Provider Name | MORGAN E KLENK
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Gender | Female
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Dates
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Enumeration Date | 08/30/2023
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Last Update Date | 08/30/2023
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Provider Practice Location Address
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Address Line | 124 FREDERICK ST
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City | LEXINGTON
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State | OH
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Zip | 44904-1240
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Country | US
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Telephone | 419-884-1111
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Fax |
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Provider Business Mailing Address
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Address Line | 150 TREASE RD
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City | MANSFIELD
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State | OH
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Zip | 44904-8764
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Country | US
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Telephone | 419-631-4083
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | COND.20232333-SP
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License Number State | OH
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