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General NPI Number Information
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NPI Number | 1558744557
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Entity Type | Individual
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Provider Name | ELEANOR MORRIS PT
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Gender | Female
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Dates
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Enumeration Date | 07/08/2015
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Last Update Date | 05/17/2021
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Provider Practice Location Address
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Address Line | 1444 FALLS AVE E
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City | TWIN FALLS
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State | ID
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Zip | 83301-3408
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Country | US
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Telephone | 208-736-2574
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Fax | 208-736-2594
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Provider Business Mailing Address
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Address Line | 5 HOLLYRIDGE DR
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City | ASHEVILLE
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State | NC
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Zip | 28803-3306
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Country | US
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Telephone |
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | P15591
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 7458
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License Number State | ID
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