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General NPI Number Information
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NPI Number | 1285612994
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Entity Type | Individual
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Provider Name | COLLEEN ANNETTE MORRIS M.D
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Gender | Female
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Dates
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Enumeration Date | 01/03/2006
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 3006 S MARYLAND PKWY 315
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City | LAS VEGAS
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State | NV
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Zip | 89109-2218
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Country | US
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Telephone | 702-992-6868
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Fax | 702-992-6860
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Provider Business Mailing Address
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Address Line | 1701 W CHARLESTON BLVD 215
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City | LAS VEGAS
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State | NV
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Zip | 89102-2325
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Country | US
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Telephone | 702-992-6868
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Fax | 702-992-6860
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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 | 207SG0201X
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Taxonomy Name | Clinical Genetics (M.D.) Physician
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License Number | 5452
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License Number State | NV
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 5452
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License Number State | NV
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