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General NPI Number Information
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NPI Number | 1003969122
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Entity Type | Individual
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Provider Name | KENNETH DOUGLAS MORRIS L.AC.
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Gender | Male
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Dates
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Enumeration Date | 01/20/2007
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Last Update Date | 10/05/2024
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Provider Practice Location Address
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Address Line | 735 MAPLETON AVE STE 203
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City | MIDDLETOWN
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State | DE
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Zip | 19709-1560
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Country | US
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Telephone | 302-396-6880
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Fax |
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Provider Business Mailing Address
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Address Line | 735 MAPLETON AVE STE 203
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City | MIDDLETOWN
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State | DE
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Zip | 19709-1560
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Country | US
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Telephone | 415-254-4240
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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 | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | AC 3101
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 8691
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | CT-0010015
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License Number State | DE
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