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General NPI Number Information
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NPI Number | 1225870660
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Entity Type | Individual
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Provider Name | ALEXANDRA TEDDY MORRIS FNP-C
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Gender | Female
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Dates
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Enumeration Date | 06/07/2024
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Last Update Date | 09/13/2024
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Provider Practice Location Address
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Address Line | 1521 HICKORY FLAT HWY STE 200
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City | CANTON
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State | GA
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Zip | 30115-3500
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Country | US
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Telephone | 470-297-1310
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Fax | 470-280-6579
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Provider Business Mailing Address
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Address Line | 4163 ELDERBERRY DR NW
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City | ACWORTH
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State | GA
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Zip | 30101-1406
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Country | US
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Telephone | 404-354-3292
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | RN269505
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | RN269505
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License Number State | GA
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