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General NPI Number Information
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NPI Number | 1144588971
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Entity Type | Individual
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Provider Name | JEFFREY SCOTT MORRISON ATC, LAT
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Gender | Male
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Dates
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Enumeration Date | 04/30/2012
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Last Update Date | 12/18/2025
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Provider Practice Location Address
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Address Line | 2177 W IRONWOOD CENTER DR
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City | COEUR D ALENE
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State | ID
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Zip | 83814-2639
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Country | US
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Telephone | 208-625-6111
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Fax | 208-625-6112
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Provider Business Mailing Address
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Address Line | 5776 W PRAIRIE AVE
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City | POST FALLS
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State | ID
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Zip | 83854-5915
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Country | US
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Telephone | 509-590-8647
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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 | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number | A1 60306008
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number | AT-779
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License Number State | ID
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