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NPI 1992439582

NPI 1992439582 : MORGAN POWELL : SAINT LOUIS, MO

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General NPI Number Information
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    NPI Number           |    1992439582
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    Entity Type          |    Individual 
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    Provider Name        |    MORGAN POWELL
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    07/11/2022
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    Last Update Date     |    02/03/2026
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Provider Practice Location Address
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    Address Line         |    1588 S LINDBERGH BLVD 
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    City                 |    SAINT LOUIS
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    State                |    MO
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    Zip                  |    63131-3515
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    Country              |    US
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    Telephone            |    314-450-7720
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    14631 OAK ORCHARD CT 
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    City                 |    CHESTERFIELD
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    State                |    MO
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    Zip                  |    63017-5636
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    Country              |    US
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    Telephone            |    314-691-3279
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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        |    363A00000X
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    Taxonomy Name        |    Physician Assistant
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    License Number       |    
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    License Number State |    
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