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NPI Code Detail

MEDICARE: EMILY MORGAN

MEDICARE: EMILY MORGAN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior TechnicianCA
2106S00000XBehavior TechnicianCO

General Provider Information

NPI Number : 1013472927
Entity Type Code : Individual
Provider Name (Legal Business Name) : EMILY MORGAN
Provider Business Mailing Address
First Line : 17230 JACKSON CREEK PKWY STE 220
Second Line :
City : MONUMENT
State : CO
Zip : 80132-7304
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 17230 JACKSON CREEK PKWY STE 220
Second Line :
City : MONUMENT
State : CO
Zip : 80132-7304
Country : US
Telephone Number : 719-488-3348
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/05/2019
Last Update Date : 01/15/2024

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Directions to “ EMILY MORGAN ” Practice Location

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