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General NPI Number Information
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NPI Number | 1972322352
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Entity Type | Individual
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Provider Name | MORGAN ELIZABETH SHEHAN LICENSED OPTICIAN
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Gender | Female
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Dates
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Enumeration Date | 10/03/2024
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Last Update Date | 10/03/2024
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Provider Practice Location Address
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Address Line | 1013 FARMINGTON AVE
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City | WEST HARTFORD
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State | CT
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Zip | 06107-2181
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Country | US
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Telephone | 860-233-2020
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Fax |
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Provider Business Mailing Address
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Address Line | 129 MITCHELL ST
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City | NEW BRITAIN
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State | CT
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Zip | 06053-3521
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Country | US
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Telephone | 860-937-8078
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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 | 156FX1800X
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Taxonomy Name | Optician
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License Number | 1878
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License Number State | CT
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