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General NPI Number Information
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NPI Number | 1467787408
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Entity Type | Organization
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Legal Business Name | MORRISON CENTER
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Dates
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Enumeration Date | 10/08/2009
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Last Update Date | 10/08/2009
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Provider Practice Location Address
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Address Line | 60 CHAMBERLAIN ROAD
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City | SCARBOROUGH
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State | ME
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Zip | 04070-1539
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Country | US
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Telephone | 207-883-6680
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Fax | 207-883-6695
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Provider Business Mailing Address
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Address Line | P.O. BOX 1539 60 CHAMBERLAIN RD.
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City | SCARBOROUGH
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State | ME
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Zip | 04070-1539
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Country | US
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Telephone | 207-883-6680
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Fax | 207-883-6695
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MR. JIM DECAMILLLIS
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Credential |
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Telephone | 207-883-6680
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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