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General NPI Number Information
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NPI Number | 1639274269
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Entity Type | Individual
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Provider Name | NICK MORRIS
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Gender | Male
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Dates
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Enumeration Date | 09/14/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 203 WESTPORT DR # B
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City | CABOT
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State | AR
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Zip | 72023-3657
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Country | US
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Telephone | 501-843-9233
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Fax | 501-843-9656
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Provider Business Mailing Address
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Address Line | 400 NORTHPORT DR APT 603
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City | CABOT
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State | AR
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Zip | 72023-4302
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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