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General NPI Number Information
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NPI Number | 1023056207
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Entity Type | Individual
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Provider Name | BODIL LYNN MORRIS CRNP
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Gender | Female
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Dates
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Enumeration Date | 06/02/2006
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Last Update Date | 05/04/2011
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Provider Practice Location Address
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Address Line | 13801 BELLE CHASSE BLVD UNIT 211
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City | LAUREL
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State | MD
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Zip | 20707-6386
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Country | US
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Telephone | 407-232-5062
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Fax |
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Provider Business Mailing Address
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Address Line | 7601 CARROLL AVE SUITE 280
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City | TAKOMA PARK
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State | MD
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Zip | 20912-6386
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Country | US
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Telephone | 301-891-6100
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Fax | 301-891-5836
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | R081714
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License Number State | MD
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