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NPI 1023632296

NPI 1023632296 : CYNTHIA K MORRIS CPM, CDEM : ROANOKE, IN

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General NPI Number Information
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    NPI Number           |    1023632296
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    Entity Type          |    Individual 
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    Provider Name        |    CYNTHIA K MORRIS CPM, CDEM
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    06/03/2020
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    Last Update Date     |    06/03/2020
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Provider Practice Location Address
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    Address Line         |    155 W 8TH ST 
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    City                 |    ROANOKE
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    State                |    IN
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    Zip                  |    46783-1037
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    Country              |    US
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    Telephone            |    260-341-5215
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    Fax                  |    260-672-3728
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Provider Business Mailing Address
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    Address Line         |    5812 N US HIGHWAY 24 E 
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    City                 |    HUNTINGTON
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    State                |    IN
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    Zip                  |    46750-9684
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    Country              |    US
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    Telephone            |    260-341-5215
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    Fax                  |    260-672-3728
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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        |    176B00000X
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    Taxonomy Name        |    Midwife
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    License Number       |    90000015A
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    License Number State |    IN
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