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General NPI Number Information
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NPI Number | 1184642688
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Entity Type | Individual
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Provider Name | JOHN SOMERS MORRELL PHD
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Gender | Male
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Dates
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Enumeration Date | 07/17/2006
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Last Update Date | 01/26/2020
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Provider Practice Location Address
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Address Line | 5007 S HOWELL AVE STE 300
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City | MILWAUKEE
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State | WI
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Zip | 53207-6158
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Country | US
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Telephone | 262-789-1191
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Fax | 414-962-4052
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Provider Business Mailing Address
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Address Line | 5900 N PORT WASHINGTON RD SUITE 230 HEALTH PSYCHOLOGY ASSOCIATES
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City | GLENDALE
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State | WI
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Zip | 53217
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Country | US
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Telephone | 414-962-4048
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Fax | 414-962-4052
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 2230057
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License Number State | WI
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