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NPI 1265425052

NPI 1265425052 : DAVID G MORRISON PT : ARTESIA, NM

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General NPI Number Information
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    NPI Number           |    1265425052
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    Entity Type          |    Individual 
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    Provider Name        |    DAVID G MORRISON PT
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    08/26/2005
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    Last Update Date     |    06/09/2011
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Provider Practice Location Address
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    Address Line         |    601 W MAHONE DR 
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    City                 |    ARTESIA
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    State                |    NM
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    Zip                  |    88210-2080
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    Country              |    US
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    Telephone            |    575-746-2566
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    PO BOX 2860 
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    City                 |    ALAMOGORDO
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    State                |    NM
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    Zip                  |    88311-2860
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    Country              |    US
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    Telephone            |    575-439-1397
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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        |    225100000X
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    Taxonomy Name        |    Physical Therapist
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    License Number       |    2441
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    License Number State |    NM
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