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General NPI Number Information
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NPI Number | 1063149698
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Entity Type | Organization
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Legal Business Name | MORRIS MEDICAL SERVICES PA
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Dates
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Enumeration Date | 08/03/2022
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Last Update Date | 08/16/2022
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Provider Practice Location Address
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Address Line | 101 MILLSTONE DR
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City | PEARL
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State | MS
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Zip | 39208-8956
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Country | US
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Telephone | 601-806-2158
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Fax | 601-806-2179
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Provider Business Mailing Address
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Address Line | 101 MILLSTONE DR
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City | PEARL
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State | MS
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Zip | 39208-8956
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Country | US
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Telephone | 601-806-2158
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Fax | 601-806-2179
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Authorized Official
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Title or Position | PHYSICIAN/OFFICE MANAGER
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Name | JACOB BRANNON MORRIS
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Credential | MD
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Telephone | 601-806-2158
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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