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General NPI Number Information
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NPI Number | 1306464193
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Entity Type | Individual
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Provider Name | CYNTHIA DIANE MORRELL RN
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Gender | Female
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Dates
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Enumeration Date | 07/08/2020
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Last Update Date | 07/08/2020
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Provider Practice Location Address
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Address Line | 28 LEVESQUE DR STE 9
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City | ELIOT
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State | ME
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Zip | 03903-2073
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Country | US
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Telephone | 978-857-7286
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Fax |
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Provider Business Mailing Address
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Address Line | 15 ALDER LN
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City | BERWICK
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State | ME
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Zip | 03901-2568
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Country | US
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Telephone | 978-857-7286
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN152323
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 163WM1400X
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Taxonomy Name | Nurse Massage Therapist (NMT)
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License Number | MT6247
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License Number State | ME
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Taxonomy #3
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN73183
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License Number State | ME
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