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General NPI Number Information
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NPI Number | 1437309937
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Entity Type | Individual
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Provider Name | JENNIFER NICOLE MORRIS BSW
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Gender | Female
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Dates
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Enumeration Date | 09/22/2008
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Last Update Date | 02/16/2011
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Provider Practice Location Address
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Address Line | 1140 N HUDSON AVE
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City | OKLAHOMA CITY
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State | OK
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Zip | 73103-3918
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Country | US
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Telephone | 405-858-1736
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Fax | 405-272-1596
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Provider Business Mailing Address
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Address Line | 121 S BICKFORD AVE APT 3
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City | EL RENO
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State | OK
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Zip | 73036-2743
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Country | US
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Telephone | 580-467-8687
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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