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General NPI Number Information
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NPI Number | 1154503845
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Entity Type | Individual
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Provider Name | MIMI LEMAIRE MORRIS
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Gender | Female
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Dates
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Enumeration Date | 12/04/2007
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Last Update Date | 02/04/2008
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Provider Practice Location Address
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Address Line | 5527 OLD HIGHWAY 93 SUITE C
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City | FLORENCE
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State | MT
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Zip | 59833-6564
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Country | US
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Telephone | 406-273-7063
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Fax | 406-273-7064
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Provider Business Mailing Address
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Address Line | PO BOX 38
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City | FLORENCE
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State | MT
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Zip | 59833-0038
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Country | US
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Telephone | 406-880-7745
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 22141
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License Number State | MT
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