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General NPI Number Information
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NPI Number | 1902494735
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Entity Type | Individual
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Provider Name | MORGAN LYNN FAUST
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Gender | Female
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Dates
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Enumeration Date | 01/07/2021
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Last Update Date | 01/07/2021
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Provider Practice Location Address
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Address Line | 339 W WALNUT ST
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City | SHAMOKIN
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State | PA
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Zip | 17872-5225
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Country | US
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Telephone | 570-648-7669
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Fax |
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Provider Business Mailing Address
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Address Line | 548 N 1ST ST
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City | COAL TOWNSHIP
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State | PA
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Zip | 17866-5145
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Country | US
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Telephone | 570-495-3558
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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 | 183700000X
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Taxonomy Name | Pharmacy Technician
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License Number |
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License Number State |
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