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General NPI Number Information
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NPI Number | 1891619813
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Entity Type | Individual
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Provider Name | MORGAN LANG
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Gender | Female
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Dates
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Enumeration Date | 08/05/2026
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Last Update Date | 08/05/2026
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Provider Practice Location Address
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Address Line | 2601 DETROIT AVE
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City | KINGMAN
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State | AZ
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Zip | 86401-4216
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Country | US
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Telephone | 928-753-6197
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Fax |
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Provider Business Mailing Address
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Address Line | 737 S HEBER RD
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City | GOLDEN VALLEY
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State | AZ
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Zip | 86413-8920
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Country | US
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Telephone |
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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 | 2355S0801X
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Taxonomy Name | Speech-Language Assistant
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License Number | SLPA17622
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License Number State | AZ
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