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General NPI Number Information
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NPI Number | 1326630898
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Entity Type | Organization
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Legal Business Name | DEBRA R. MORTON
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Dates
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Enumeration Date | 02/06/2021
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Last Update Date | 02/06/2021
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Provider Practice Location Address
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Address Line | 4509 WHITECHAPEL DR
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City | VIRGINIA BEACH
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State | VA
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Zip | 23455-6447
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Country | US
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Telephone | 703-919-2439
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Fax |
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Provider Business Mailing Address
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Address Line | 911 PORTNER PL
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City | ALEXANDRIA
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State | VA
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Zip | 22314-1313
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Country | US
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Telephone | 703-919-2439
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Fax |
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Authorized Official
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Title or Position | PROVIDER
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Name | DEBRA R MORTON
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Credential | PMHNP
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Telephone | 703-919-2439
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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