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General NPI Number Information
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NPI Number | 1033223664
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Entity Type | Individual
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Provider Name | DAVID WILLIAM MORRISSE O.D.
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Gender | Male
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Dates
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Enumeration Date | 08/19/2006
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Last Update Date | 11/18/2009
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Provider Practice Location Address
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Address Line | 890 ODUM RD
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City | GARDENDALE
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State | AL
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Zip | 35071-4617
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Country | US
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Telephone | 205-631-2328
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Fax | 205-631-2234
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Provider Business Mailing Address
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Address Line | 133 HIGH CREST RD
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City | PELHAM
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State | AL
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Zip | 35124-2513
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Country | US
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Telephone | 205-259-9051
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Fax | 205-631-2234
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | S994TA569
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License Number State | AL
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