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NPI 1144590746

NPI 1144590746 : MRS. ERICA MORRIS : MIDDLETOWN, NY

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General NPI Number Information
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    NPI Number           |    1144590746
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    Entity Type          |    Individual 
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    Provider Name        |    MRS. ERICA MORRIS
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    01/12/2012
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    Last Update Date     |    01/12/2012
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Provider Practice Location Address
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    Address Line         |    2277 GOSHEN TPKE 
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    City                 |    MIDDLETOWN
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    State                |    NY
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    Zip                  |    10941-4032
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    Country              |    US
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    Telephone            |    845-692-4391
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    16 MCGARRAH RD 
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    City                 |    MONROE
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    State                |    NY
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    Zip                  |    10950-3728
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    Country              |    US
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    Telephone            |    845-238-3032
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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        |    225100000X
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    Taxonomy Name        |    Physical Therapist
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    License Number       |    027034-1
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    License Number State |    NY
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