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General NPI Number Information
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NPI Number | 1326676784
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Entity Type | Individual
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Provider Name | CHRISTIANA ELLIS-MORRIS
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Gender | Female
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Dates
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Enumeration Date | 03/31/2020
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Last Update Date | 03/31/2020
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Provider Practice Location Address
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Address Line | 9 VILLAGE INN RD
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City | WESTMINSTER
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State | MA
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Zip | 01473-1643
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Country | US
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Telephone | 978-571-1783
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Fax |
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Provider Business Mailing Address
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Address Line | 24 GEORGE ST
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City | CHARLTON
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State | MA
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Zip | 01507-1518
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Country | US
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Telephone | 508-581-0383
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 315163
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License Number State | MA
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