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General NPI Number Information
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NPI Number | 1568021376
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Entity Type | Individual
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Provider Name | TERRY B MORRIS RPH
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Gender | Male
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Dates
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Enumeration Date | 06/06/2019
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Last Update Date | 06/06/2019
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Provider Practice Location Address
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Address Line | 127 N MAIN ST
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City | PAULLINA
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State | IA
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Zip | 51046-7758
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Country | US
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Telephone | 712-949-3490
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Fax |
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Provider Business Mailing Address
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Address Line | 16933 256TH AVE
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City | SPIRIT LAKE
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State | IA
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Zip | 51360-6877
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Country | US
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Telephone | 712-261-0474
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Fax | 888-859-1765
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 14953
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License Number State | IA
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