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General NPI Number Information
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NPI Number | 1316323173
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Entity Type | Individual
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Provider Name | PAMELLA NICOLE MORRISON CLPN
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Gender | Female
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Dates
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Enumeration Date | 08/04/2015
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Last Update Date | 07/19/2023
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Provider Practice Location Address
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Address Line | 109 DESERT CV STE F
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City | SALTILLO
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State | MS
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Zip | 38866-8001
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Country | US
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Telephone | 662-687-4288
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Fax | 844-270-6261
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Provider Business Mailing Address
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Address Line | 109 DESERT CV STE F
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City | SALTILLO
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State | MS
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Zip | 38866-8001
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Country | US
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Telephone | 662-687-4288
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Fax | 844-270-6261
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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 | 246RP1900X
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Taxonomy Name | Phlebotomy Technician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 372600000X
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Taxonomy Name | Adult Companion
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 3747P1801X
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Taxonomy Name | Personal Care Attendant
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 164W00000X
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Taxonomy Name | Licensed Practical Nurse
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License Number | 334790
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License Number State | MS
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