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General NPI Number Information
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NPI Number | 1538360151
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Entity Type | Organization
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Legal Business Name | MORSE ENTERPRISES INC
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Dates
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Enumeration Date | 05/30/2007
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Last Update Date | 07/14/2007
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Provider Practice Location Address
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Address Line | 2876 230TH ST
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City | SIDNEY
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State | IA
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Zip | 51652-6086
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Country | US
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Telephone | 712-374-2296
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Fax |
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Provider Business Mailing Address
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Address Line | 2876 230TH ST
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City | SIDNEY
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State | IA
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Zip | 51652-6086
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Country | US
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Telephone | 712-374-2296
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR - OWNER
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Name | MARY ANNE MORSE-BOLTON
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Credential |
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Telephone | 712-374-2296
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 311Z00000X
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Taxonomy Name | Custodial Care Facility
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License Number | 360305
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License Number State | IA
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