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General NPI Number Information
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NPI Number | 1972650521
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Entity Type | Organization
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Legal Business Name | PATRICIA ANN MORGAN
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Dates
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Enumeration Date | 01/05/2007
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Last Update Date | 02/22/2010
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Provider Practice Location Address
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Address Line | 1211 MICHIGAN ST SUITE A
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City | SANDPOINT
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State | ID
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Zip | 83864-5185
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Country | US
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Telephone | 208-265-0432
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Fax |
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Provider Business Mailing Address
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Address Line | 6088 N COLFAX ST
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City | DALTON GARDENS
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State | ID
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Zip | 83815-9283
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Country | US
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Telephone | 208-772-1417
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | PATRICIA ANN MORGAN
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Credential | REEGT, RPSGT
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Telephone | 208-772-1417
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QS1200X
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Taxonomy Name | Sleep Disorder Diagnostic Clinic/Center
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License Number |
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License Number State |
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