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General NPI Number Information
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NPI Number | 1407813736
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Entity Type | Individual
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Provider Name | JOHN TOM MORRIS JR. M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/28/2006
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Last Update Date | 04/03/2015
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Provider Practice Location Address
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Address Line | 7580 CLARINGTON CV
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City | SOUTHAVEN
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State | MS
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Zip | 38671-5657
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Country | US
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Telephone | 901-259-1600
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Fax | 901-259-1698
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Provider Business Mailing Address
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Address Line | 7580 CLARINGTON CV
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City | SOUTHAVEN
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State | MS
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Zip | 38671-5657
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Country | US
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Telephone | 901-259-1600
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Fax | 901-259-1698
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 05653
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License Number State | MS
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