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General NPI Number Information
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NPI Number | 1548930134
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Entity Type | Individual
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Provider Name | AMANDA N MORSE
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Gender | Female
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Dates
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Enumeration Date | 09/15/2021
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Last Update Date | 09/15/2021
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Provider Practice Location Address
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Address Line | 328 GLEN ST
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City | SUMMERVILLE
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State | SC
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Zip | 29483-4653
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Country | US
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Telephone | 843-991-8390
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Fax |
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Provider Business Mailing Address
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Address Line | 243 WEEPING CYPRESS DR
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City | MONCKS CORNER
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State | SC
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Zip | 29461-6716
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Country | US
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Telephone | 508-494-8020
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State |
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