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General NPI Number Information
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NPI Number | 1215969985
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Entity Type | Individual
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Provider Name | JAMES RANDALL MORRIS M.D. PH.D.
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Gender | Male
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Dates
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Enumeration Date | 07/06/2006
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Last Update Date | 11/29/2017
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Provider Practice Location Address
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Address Line | 5 PERRYRIDGE RD
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City | GREENWICH
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State | CT
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Zip | 06830-4608
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Country | US
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Telephone | 203-253-2644
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Fax | 914-253-8099
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Provider Business Mailing Address
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Address Line | 170 CLAPBOARD RIDGE RD
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City | GREENWICH
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State | CT
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Zip | 06831-3351
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Country | US
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Telephone | 203-253-2644
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Fax | 914-253-8099
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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 | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 187992
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 035215
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License Number State | CT
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