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General NPI Number Information
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NPI Number | 1518238054
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Entity Type | Individual
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Provider Name | MISS GRACE MORRIS
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Gender | Female
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Dates
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Enumeration Date | 01/14/2012
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Last Update Date | 07/23/2014
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Provider Practice Location Address
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Address Line | 445 MINNESOTA ST SUITE 1500
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City | SAINT PAUL
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State | MN
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Zip | 55101-2190
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Country | US
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Telephone | 651-387-3944
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Fax |
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Provider Business Mailing Address
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Address Line | 6240 TAHOE RD
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City | WOODBURY
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State | MN
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Zip | 55125-1467
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Country | US
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Telephone | 651-387-3944
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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 | 376G00000X
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Taxonomy Name | Nursing Home Administrator
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License Number |
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License Number State |
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