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General NPI Number Information
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NPI Number | 1316453368
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Entity Type | Individual
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Provider Name | MARET MORRISON MOTR/L
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Gender | Female
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Dates
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Enumeration Date | 12/28/2017
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Last Update Date | 06/30/2021
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Provider Practice Location Address
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Address Line | 4201 LAKE BOONE TRL STE 4
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City | RALEIGH
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State | NC
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Zip | 27607-7511
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Country | US
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Telephone | 919-781-4434
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Fax |
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Provider Business Mailing Address
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Address Line | 2832 CROIX PL
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City | RALEIGH
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State | NC
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Zip | 27614-9155
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Country | US
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Telephone |
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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 | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | 10871
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 10871
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License Number State | NC
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