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General NPI Number Information
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NPI Number | 1992082598
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Entity Type | Individual
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Provider Name | MICHAEL JAY MORGAN R.PH.
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Gender | Male
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Dates
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Enumeration Date | 11/10/2011
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Last Update Date | 03/04/2022
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Provider Practice Location Address
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Address Line | 6671 CAROLINE ST
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City | MILTON
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State | FL
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Zip | 32570-4781
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Country | US
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Telephone | 850-564-7722
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Fax | 850-665-3751
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Provider Business Mailing Address
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Address Line | 6506 CAROLINE ST
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City | MILTON
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State | FL
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Zip | 32570-4778
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Country | US
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Telephone | 850-810-3002
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Fax | 850-983-9304
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PS16415
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License Number State | FL
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