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General NPI Number Information
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NPI Number | 1982285425
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Entity Type | Individual
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Provider Name | COURTNEY MORGAN PTA
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Gender | Female
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Dates
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Enumeration Date | 04/16/2021
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Last Update Date | 04/16/2021
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Provider Practice Location Address
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Address Line | 228 TROY ST
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City | DAYTON
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State | OH
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Zip | 45404-1831
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Country | US
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Telephone | 937-228-8132
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Fax |
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Provider Business Mailing Address
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Address Line | 807 MERRY JOHN DR
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City | MIAMISBURG
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State | OH
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Zip | 45342-2043
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Country | US
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Telephone | 937-901-1447
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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 | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | PTA010658
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License Number State | OH
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