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General NPI Number Information
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NPI Number | 1083010615
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Entity Type | Individual
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Provider Name | JOEL C. MORRISON PA
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Gender | Male
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Dates
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Enumeration Date | 11/10/2014
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Last Update Date | 01/17/2017
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Provider Practice Location Address
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Address Line | 1010 E 3RD ST SUITE 202
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City | CHATTANOOGA
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State | TN
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Zip | 37403-2109
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Country | US
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Telephone | 423-265-2233
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Fax | 423-756-8265
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Provider Business Mailing Address
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Address Line | 975 E. THIRD STREET ATTN: PROVIDER ENROLLMENT
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City | CHATTANOOGA
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State | TN
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Zip | 37403
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Country | US
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Telephone | 423-265-2233
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Fax | 423-756-8265
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 2672
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License Number State | TN
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