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General NPI Number Information
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NPI Number | 1083153225
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Entity Type | Individual
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Provider Name | KYLE MORRISON PSYD
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Gender | Male
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Dates
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Enumeration Date | 02/21/2017
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Last Update Date | 02/21/2017
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Provider Practice Location Address
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Address Line | 600H EDEN RD
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City | LANCASTER
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State | PA
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Zip | 17601-4205
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Country | US
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Telephone | 717-397-1400
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Fax | 717-509-4066
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Provider Business Mailing Address
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Address Line | 240 STONE MILL RD APT E106
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City | LANCASTER
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State | PA
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Zip | 17603-4624
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Country | US
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Telephone | 847-254-4212
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PS018226
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License Number State | PA
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