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General NPI Number Information
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NPI Number | 1073781282
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Entity Type | Organization
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Legal Business Name | MORRIS W. PULLIAM, M.D., LLC
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Dates
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Enumeration Date | 02/11/2008
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Last Update Date | 02/11/2008
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Provider Practice Location Address
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Address Line | 500 GYPSY LN
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City | YOUNGSTOWN
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State | OH
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Zip | 44504-1315
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Country | US
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Telephone | 330-773-3544
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 190
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City | BERLIN CENTER
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State | OH
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Zip | 44401-0190
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Country | US
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Telephone | 330-773-3544
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MORRIS W PULLIAM
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Credential | MD
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Telephone | 330-773-3544
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207T00000X
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Taxonomy Name | Neurological Surgery Physician
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License Number | 35075439
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License Number State | OH
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