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NPI 1467036087

NPI 1467036087 : CORTNAE DAWN MORRIS L.AC : GOLDEN, CO

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General NPI Number Information
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    NPI Number           |    1467036087
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    Entity Type          |    Individual 
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    Provider Name        |    CORTNAE DAWN MORRIS L.AC
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    05/10/2021
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    Last Update Date     |    05/10/2021
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Provider Practice Location Address
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    Address Line         |    2801 YOUNGFIELD STREET STE 117
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    City                 |    GOLDEN
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    State                |    CO
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    Zip                  |    80401
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    Country              |    US
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    Telephone            |    303-593-0731
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    2801 YOUNGFIELD ST STE 117 
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    City                 |    GOLDEN
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    State                |    CO
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    Zip                  |    80401-2266
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    Country              |    US
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    Telephone            |    303-593-0731
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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        |    171100000X
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    Taxonomy Name        |    Acupuncturist
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    License Number       |    0002591
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    License Number State |    CO
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