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General NPI Number Information
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NPI Number | 1962026625
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Entity Type | Individual
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Provider Name | EDWINA ROCHELLE MORGAN NP
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Gender | Female
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Dates
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Enumeration Date | 05/28/2020
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Last Update Date | 08/29/2025
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Provider Practice Location Address
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Address Line | 8858 S EAST END AVE
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City | CHICAGO
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State | IL
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Zip | 60617-2805
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Country | US
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Telephone | 773-319-8028
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Fax |
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Provider Business Mailing Address
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Address Line | 445 E ILLINOIS ST
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City | CHICAGO
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State | IL
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Zip | 60611-5380
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 1077860
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 209021187
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 209021187
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License Number State | IL
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