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General NPI Number Information
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NPI Number | 1376785873
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Entity Type | Individual
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Provider Name | MELISSA SUZANNE MORRIS MS, RD
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Gender | Female
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Dates
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Enumeration Date | 03/30/2009
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Last Update Date | 03/30/2009
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Provider Practice Location Address
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Address Line | 2719A MEADOW CREEK WAY
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City | ARCATA
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State | CA
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Zip | 95521-1608
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Country | US
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Telephone | 805-458-5222
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1143
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City | ARCATA
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State | CA
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Zip | 95518-1143
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Country | US
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Telephone | 805-458-5222
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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 | 133N00000X
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Taxonomy Name | Nutritionist
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License Number | 992995
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | 992995
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License Number State | CA
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