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General NPI Number Information
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NPI Number | 1457876823
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Entity Type | Individual
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Provider Name | KATHRYN ELIZABETH MORRISON NP
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Gender | Female
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Dates
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Enumeration Date | 08/07/2017
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Last Update Date | 07/17/2020
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Provider Practice Location Address
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Address Line | 9900 BREN RD E
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City | MINNETONKA
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State | MN
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Zip | 55343-9664
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Country | US
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Telephone | 847-651-8583
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Fax |
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Provider Business Mailing Address
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Address Line | 995 BLACKBERRY CT
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City | LAKE IN THE HILLS
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State | IL
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Zip | 60156-4601
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Country | US
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Telephone | 847-846-7487
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 209015935
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License Number State | IL
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