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General NPI Number Information
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NPI Number | 1902399710
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Entity Type | Individual
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Provider Name | TIMOTHY B MORGAN DO
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Gender | Male
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Dates
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Enumeration Date | 06/07/2018
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Last Update Date | 06/18/2023
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Provider Practice Location Address
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Address Line | 3188 BELLEVUE AVE STE E688A
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City | CINCINNATI
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State | OH
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Zip | 45219-2369
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Country | US
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Telephone | 513-558-6089
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Fax |
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Provider Business Mailing Address
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Address Line | 3188 BELLEVUE AVE STE E688A
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City | CINCINNATI
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State | OH
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Zip | 45219-2369
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 010066
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 58030691
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 2085D0003X
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Taxonomy Name | Diagnostic Neuroimaging (Radiology) Physician
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License Number | 34.016412
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License Number State | OH
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