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General NPI Number Information
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NPI Number | 1184291387
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Entity Type | Individual
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Provider Name | JULIA MARCELLA MORRIS
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Gender | Female
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Dates
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Enumeration Date | 06/07/2021
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Last Update Date | 06/07/2021
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Provider Practice Location Address
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Address Line | 120 E CEDAR AVE
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City | GLADWIN
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State | MI
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Zip | 48624-2206
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Country | US
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Telephone | 989-426-1170
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Fax | 989-426-7692
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Provider Business Mailing Address
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Address Line | 4352 BAY RD PMB 209
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City | SAGINAW
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State | MI
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Zip | 48603-1206
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Country | US
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Telephone | 989-578-2171
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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 | 183700000X
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Taxonomy Name | Pharmacy Technician
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License Number | 5303013421
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License Number State | MI
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