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General NPI Number Information
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NPI Number | 1902730054
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Entity Type | Individual
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Provider Name | MORGAN MICHELLE WALCOTT
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Gender | Female
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Dates
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Enumeration Date | 06/11/2026
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Last Update Date | 06/11/2026
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Provider Practice Location Address
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Address Line | 167 N MAIN ST
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City | AMHERST
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State | WI
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Zip | 54406-9028
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Country | US
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Telephone | 715-529-3487
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Fax |
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Provider Business Mailing Address
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Address Line | 1306 N POINT DR
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City | STEVENS POINT
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State | WI
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Zip | 54481-1127
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 17833-24
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License Number State | WI
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