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General NPI Number Information
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NPI Number | 1023380698
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Entity Type | Individual
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Provider Name | STACIE ELAINE MORSE R.N.
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Gender | Female
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Dates
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Enumeration Date | 01/30/2012
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Last Update Date | 02/01/2012
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Provider Practice Location Address
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Address Line | 1003 STATE ROUTE 80
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City | GEORGETOWN
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State | NY
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Zip | 13072
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Country | US
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Telephone | 315-837-4407
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Fax | 315-837-4775
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Provider Business Mailing Address
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Address Line | 1003 STATE ROUTE 80
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City | GEORGETOWN
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State | NY
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Zip | 13072
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Country | US
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Telephone | 315-837-4407
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Fax | 315-837-4775
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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 | 163WS0200X
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Taxonomy Name | School Registered Nurse
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License Number | 425424
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License Number State | NY
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