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General NPI Number Information
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NPI Number | 1659090520
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Entity Type | Individual
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Provider Name | NICHOLAS JOSEPH MORRIS III FNP
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Gender | Male
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Dates
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Enumeration Date | 08/24/2022
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Last Update Date | 04/01/2025
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Provider Practice Location Address
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Address Line | 25A JUNE ST STE 111
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City | SANFORD
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State | ME
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Zip | 04073-2642
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Country | US
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Telephone | 207-490-7998
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Fax |
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Provider Business Mailing Address
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Address Line | 25A JUNE ST STE 111
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City | SANFORD
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State | ME
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Zip | 04073-2642
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Country | US
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Telephone | 207-490-7998
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Fax | 207-490-7999
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 090378-23
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License Number State | NH
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | CNP221067
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License Number State | ME
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