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General NPI Number Information
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NPI Number | 1386980167
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Entity Type | Individual
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Provider Name | BARBARA ANN MORTON A.C.N.P.
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Gender | Female
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Dates
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Enumeration Date | 12/22/2012
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Last Update Date | 05/06/2013
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Provider Practice Location Address
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Address Line | 18444 W 10 MILE RD SUITE 102
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City | SOUTHFIELD
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State | MI
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Zip | 48075-2653
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Country | US
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Telephone | 248-796-1164
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Fax | 888-399-9554
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Provider Business Mailing Address
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Address Line | 18444 W 10 MILE RD SUITE 102
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City | SOUTHFIELD
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State | MI
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Zip | 48075-2653
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Country | US
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Telephone | 248-796-1164
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Fax | 888-399-9554
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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 | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 4704198722
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License Number State | MI
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