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General NPI Number Information
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NPI Number | 1063247922
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Entity Type | Individual
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Provider Name | NATHAN L. MORRIS
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Gender | Male
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Dates
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Enumeration Date | 09/02/2024
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Last Update Date | 09/02/2024
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Provider Practice Location Address
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Address Line | 90 N 4TH ST
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City | MARTINS FERRY
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State | OH
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Zip | 43935-1648
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Country | US
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Telephone | 740-633-1100
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Fax |
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Provider Business Mailing Address
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Address Line | 65196 BARKCAMP PARK RD
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City | BELMONT
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State | OH
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Zip | 43718-9589
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Country | US
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Telephone | 740-296-3705
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Fax |
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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 | 164X00000X
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Taxonomy Name | Licensed Vocational Nurse
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License Number | LPN.119875.MEDS
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License Number State | OH
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