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General NPI Number Information
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NPI Number | 1912111535
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Entity Type | Individual
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Provider Name | RONALD JAY MORGAN JR. PA-C
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Gender | Male
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Dates
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Enumeration Date | 05/10/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 10 E HIGH ST
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City | PAINESVILLE
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State | OH
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Zip | 44077-3411
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Country | US
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Telephone | 440-354-1607
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Fax | 440-354-1877
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Provider Business Mailing Address
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Address Line | 427 E 327TH ST
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City | WILLOWICK
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State | OH
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Zip | 44095-3315
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Country | US
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Telephone | 440-943-0810
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 50-001650
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License Number State | OH
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