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General NPI Number Information
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NPI Number | 1487712204
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Entity Type | Individual
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Provider Name | MARK THOMAS MORRISSEY M.D.
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Gender | Male
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Dates
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Enumeration Date | 12/05/2006
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Last Update Date | 07/15/2019
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Provider Practice Location Address
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Address Line | 582 MARKET ST STE 1401
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City | SAN FRANCISCO
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State | CA
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Zip | 94104-5315
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Country | US
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Telephone | 415-841-2305
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 661
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City | SAN FRANCISCO
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State | CA
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Zip | 94104-0661
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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 |
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | G70769
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License Number State | CA
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