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General NPI Number Information
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NPI Number | 1144067083
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Entity Type | Individual
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Provider Name | JAMES DENNIS MORRELL PHD
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Gender | Male
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Dates
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Enumeration Date | 07/09/2024
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Last Update Date | 07/09/2024
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Provider Practice Location Address
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Address Line | 500 SNELL HALL
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City | CORVALLIS
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State | OR
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Zip | 97331-8593
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Country | US
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Telephone | 541-737-2131
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Fax |
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Provider Business Mailing Address
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Address Line | 337 SW 9TH ST
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City | CORVALLIS
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State | OR
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Zip | 97333-4533
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Country | US
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Telephone | 787-359-1727
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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 | 3600
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License Number State | OR
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