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General NPI Number Information
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NPI Number | 1114121266
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Entity Type | Individual
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Provider Name | DANA MORRIS OTR/L
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Gender | Female
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Dates
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Enumeration Date | 06/13/2007
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Last Update Date | 11/23/2010
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Provider Practice Location Address
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Address Line | 4141 LAKELAND HILLS BLVD
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City | LAKELAND
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State | FL
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Zip | 33805-1978
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Country | US
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Telephone | 863-937-8070
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Fax |
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Provider Business Mailing Address
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Address Line | 2415 TAHOE DR
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City | LAKELAND
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State | FL
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Zip | 33805-9624
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Country | US
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Telephone | 810-210-8354
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | OT11538
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License Number State | FL
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