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General NPI Number Information
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NPI Number | 1649799081
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Entity Type | Individual
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Provider Name | TIMOTHY MORRIS
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Gender | Male
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Dates
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Enumeration Date | 09/18/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 448 36TH AVE NW STE 101
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City | NORMAN
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State | OK
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Zip | 73072-4743
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Country | US
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Telephone | 405-573-9905
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Fax |
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Provider Business Mailing Address
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Address Line | 5900 KINKEAD AVE APT 477
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City | FORT SMITH
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State | AR
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Zip | 72903-1511
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Country | US
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Telephone | 479-226-1887
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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 | 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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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 10201
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License Number State | OK
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