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General NPI Number Information
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NPI Number | 1619536448
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Entity Type | Organization
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Legal Business Name | MORRIS BLUE, INC.
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Dates
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Enumeration Date | 06/05/2019
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Last Update Date | 05/28/2020
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Provider Practice Location Address
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Address Line | 44 MILLER RD
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City | MORRISTOWN
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State | NJ
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Zip | 07960-5237
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Country | US
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Telephone | 862-812-1811
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 9002
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City | MORRISTOWN
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State | NJ
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Zip | 07963-9002
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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 | ASSISTANT DIRECTOR
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Name | GREGORY CARLSSON
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Credential |
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Telephone | 973-975-6516
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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