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General NPI Number Information
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NPI Number | 1467650192
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Entity Type | Individual
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Provider Name | ALAN FAIRCHILD MORRISON MD
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Gender | Male
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Dates
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Enumeration Date | 07/03/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 16001 W 9 MILE RD FAMILY MEDICINE
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City | SOUTHFIELD
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State | MI
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Zip | 48075-4818
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Country | US
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Telephone | 248-849-3447
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Fax |
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Provider Business Mailing Address
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Address Line | BOX 49
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City | MORPETH
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State | ON
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Zip | N0P1X0
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Country | CA
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Telephone | 519-674-1807
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 4301090258
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License Number State | MI
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