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NPI 1376107540

NPI 1376107540 : AARON PHILIP MORRISON PSYD : MOUNTAIN HOME AFB, ID

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General NPI Number Information
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    NPI Number           |    1376107540
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    Entity Type          |    Individual 
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    Provider Name        |    AARON PHILIP MORRISON PSYD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    04/23/2019
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    Last Update Date     |    07/20/2026
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Provider Practice Location Address
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    Address Line         |    90 HOPE DR BLDG 6000 
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    City                 |    MOUNTAIN HOME AFB
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    State                |    ID
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    Zip                  |    83648-1062
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    Country              |    US
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    Telephone            |    208-828-7900
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    90 HOPE DR BLDG 6000 
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    City                 |    MOUNTAIN HOME AFB
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    State                |    ID
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    Zip                  |    83648-1062
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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        |    103T00000X
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    Taxonomy Name        |    Psychologist
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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        |    103TC0700X
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    Taxonomy Name        |    Clinical Psychologist
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    License Number       |    0810007486
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    License Number State |    VA
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