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General NPI Number Information
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NPI Number | 1295335479
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Entity Type | Individual
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Provider Name | STEPHANIE MORRIS
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Gender | Female
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Dates
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Enumeration Date | 10/28/2020
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Last Update Date | 10/28/2020
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Provider Practice Location Address
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Address Line | 150 COBB PKWY S
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City | MARIETTA
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State | GA
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Zip | 30060-9209
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Country | US
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Telephone | 678-285-0242
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Fax | 678-285-0244
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Provider Business Mailing Address
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Address Line | 2281 AKERS MILL RD SE APT 1339
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City | ATLANTA
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State | GA
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Zip | 30339-2630
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Country | US
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Telephone | 865-963-8658
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 40337
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 29741
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License Number State | GA
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