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General NPI Number Information
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NPI Number | 1194857557
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Entity Type | Individual
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Provider Name | ROBERT ELROD MORRISH LCSW
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Gender | Male
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Dates
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Enumeration Date | 03/12/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1141 GRAY AVE SUITE C
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City | YUBA CITY
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State | CA
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Zip | 95991-3208
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Country | US
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Telephone | 530-671-2614
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Fax | 530-673-4110
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Provider Business Mailing Address
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Address Line | 1569 CEDAR WAY
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City | YUBA CITY
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State | CA
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Zip | 95993-5212
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Country | US
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Telephone | 530-673-4110
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Fax | 530-673-4110
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LCS 6398
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License Number State | CA
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