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General NPI Number Information
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NPI Number | 1689953812
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Entity Type | Individual
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Provider Name | DANIEL MORRISON
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Gender | Male
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Dates
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Enumeration Date | 08/05/2011
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Last Update Date | 08/05/2011
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Provider Practice Location Address
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Address Line | 500 CHERRY ST
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City | BLUEFIELD
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State | WV
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Zip | 24701-3306
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Country | US
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Telephone | 304-327-1562
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Fax |
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Provider Business Mailing Address
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Address Line | 123 FAWN CIR
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City | BLUEFIELD
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State | VA
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Zip | 24605-9222
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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 | 1835P0018X
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Taxonomy Name | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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License Number | RP0006675
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License Number State | WV
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