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General NPI Number Information
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NPI Number | 1518654573
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Entity Type | Individual
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Provider Name | DIANA M MORRISON
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Gender | Female
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Dates
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Enumeration Date | 04/20/2023
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Last Update Date | 04/20/2023
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Provider Practice Location Address
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Address Line | 4940 CHAMBERSBURG RD
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City | DAYTON
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State | OH
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Zip | 45424-3619
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Country | US
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Telephone | 937-310-1269
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Fax |
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Provider Business Mailing Address
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Address Line | 5530 HAMILTON AVE APT 8
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City | CINCINNATI
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State | OH
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Zip | 45224-3141
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Country | US
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Telephone | 513-519-8163
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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 | 175T00000X
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Taxonomy Name | Peer Specialist
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License Number | APS.003164
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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