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General NPI Number Information
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NPI Number | 1588953962
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Entity Type | Individual
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Provider Name | DEBORAH ANN MORRIS PMH, CNS, APN
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Gender | Female
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Dates
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Enumeration Date | 04/06/2011
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Last Update Date | 04/23/2014
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Provider Practice Location Address
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Address Line | 511 PERRY ST
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City | DEFIANCE
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State | OH
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Zip | 43512-2123
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Country | US
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Telephone | 419-782-9920
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Fax | 419-784-2523
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Provider Business Mailing Address
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Address Line | 511 PERRY ST
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City | DEFIANCE
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State | OH
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Zip | 43512-2123
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Country | US
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Telephone | 419-782-9920
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Fax | 419-784-2523
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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 | 364SP0808X
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Taxonomy Name | Psychiatric/Mental Health Clinical Nurse Specialist
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License Number | COA.03416-NS CNS
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 364SP0808X
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Taxonomy Name | Psychiatric/Mental Health Clinical Nurse Specialist
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License Number | RX.03416-EX1
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License Number State | OH
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