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General NPI Number Information
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NPI Number | 1477856417
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Entity Type | Organization
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Legal Business Name | MORRISON ORTHOPEDICS, P.C.
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Dates
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Enumeration Date | 12/14/2010
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Last Update Date | 11/02/2011
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Provider Practice Location Address
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Address Line | 1750 POWDER SPRINGS RD SW STE 510
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City | MARIETTA
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State | GA
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Zip | 30064-4850
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Country | US
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Telephone | 770-919-1190
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Fax |
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Provider Business Mailing Address
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Address Line | 1750 POWDER SPRINGS RD SW STE 510
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City | MARIETTA
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State | GA
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Zip | 30064-4850
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MICHAEL MORRISON
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Credential |
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Telephone | 770-919-1190
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 027613
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License Number State | GA
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