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General NPI Number Information
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NPI Number | 1972680098
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Entity Type | Individual
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Provider Name | MORGAN AUGUSTUS JOE JR. DC
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Gender | Male
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Dates
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Enumeration Date | 11/01/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 4740 BAXTER RD
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City | VIRGINIA BEACH
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State | VA
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Zip | 23462
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Country | US
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Telephone | 757-513-5421
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Fax | 757-490-3838
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Provider Business Mailing Address
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Address Line | 1100 S CARRINGTON CRES
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City | PORTSMOUTH
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State | VA
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Zip | 23701-3806
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Country | US
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Telephone | 757-485-1434
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 0104001802
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License Number State | VA
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