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General NPI Number Information
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NPI Number | 1558302604
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Entity Type | Individual
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Provider Name | JEANETTE M MORRISON DO
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Gender | Female
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Dates
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Enumeration Date | 06/09/2006
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Last Update Date | 04/12/2013
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Provider Practice Location Address
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Address Line | 826 MAIN ST SUITE 100
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City | PHOENIXVILLE
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State | PA
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Zip | 19460-4459
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Country | US
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Telephone | 610-933-8484
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Fax | 610-917-1326
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Provider Business Mailing Address
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Address Line | PO BOX 525
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City | PHOENIXVILLE
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State | PA
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Zip | 19460-0525
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Country | US
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Telephone | 610-933-8000
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Fax | 610-917-1326
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | OS006890L
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | OS006890L
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License Number State | PA
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