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General NPI Number Information
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NPI Number | 1114013638
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Entity Type | Individual
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Provider Name | CONNIE L MORRISON MD
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Gender | Female
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Dates
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Enumeration Date | 10/04/2006
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Last Update Date | 05/26/2015
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Provider Practice Location Address
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Address Line | 1216 RYANS RD SUITE 1
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City | WORTHINGTON
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State | MN
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Zip | 56187-1722
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Country | US
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Telephone | 507-372-2921
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Fax | 507-372-5789
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Provider Business Mailing Address
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Address Line | 1216 RYANS RD SUITE 1
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City | WORTHINGTON
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State | MN
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Zip | 56187-1722
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Country | US
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Telephone | 507-372-2921
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Fax | 507-372-5789
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 46261
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License Number State | MN
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