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General NPI Number Information
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NPI Number | 1356568521
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Entity Type | Individual
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Provider Name | WILLIAM GREGORY MORRIS OT
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Gender | Male
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Dates
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Enumeration Date | 04/19/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 106 N FRONT AVE
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City | PRESTONSBURG
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State | KY
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Zip | 41653-7832
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Country | US
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Telephone | 606-886-2354
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Fax |
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Provider Business Mailing Address
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Address Line | 675 DEPOT ST
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City | PAINTSVILLE
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State | KY
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Zip | 41240-1460
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Country | US
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Telephone | 606-789-7960
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Fax | 606-789-7960
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | R2033
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License Number State | KY
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