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General NPI Number Information
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NPI Number | 1043199672
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Entity Type | Individual
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Provider Name | LORETTA MORRIS RMA/CMA, CNA, MT
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Gender | Female
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Dates
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Enumeration Date | 08/28/2025
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Last Update Date | 08/28/2025
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Provider Practice Location Address
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Address Line | 377 HOSPITAL ST
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City | MOCKSVILLE
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State | NC
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Zip | 27028-2191
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Country | US
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Telephone | 336-751-5636
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Fax | 336-751-5636
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Provider Business Mailing Address
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Address Line | 284 EXECUTIVE PARK DR
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City | CONCORD
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State | NC
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Zip | 28025-1831
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Country | US
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Telephone | 704-939-1100
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Fax | 704-939-1173
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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 | 376K00000X
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Taxonomy Name | Nurse's Aide
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License Number | 129593
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 247200000X
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Taxonomy Name | Other Technician
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License Number | 2676896
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License Number State | NC
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