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General NPI Number Information
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NPI Number | 1114393410
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Entity Type | Individual
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Provider Name | EARRACE MORRIS CRNP
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Gender | Male
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Dates
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Enumeration Date | 08/20/2015
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Last Update Date | 05/21/2025
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Provider Practice Location Address
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Address Line | 40 MEDICAL CIR
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City | MOULTON
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State | AL
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Zip | 35650-1256
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Country | US
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Telephone | 256-974-0606
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Fax | 256-522-2226
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Provider Business Mailing Address
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Address Line | 100 E CARROLL ST
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City | SALISBURY
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State | MD
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Zip | 21801-5422
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Country | US
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Telephone | 800-749-5191
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Fax | 410-630-7685
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | R236186
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 20325
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License Number State | TN
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Taxonomy #3
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 1-113559
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License Number State | AL
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