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General NPI Number Information
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NPI Number | 1699795229
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Entity Type | Individual
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Provider Name | CHARLES E MORRIS MD
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Gender | Male
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Dates
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Enumeration Date | 07/19/2006
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Last Update Date | 10/23/2015
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Provider Practice Location Address
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Address Line | 2703 COUNTY ROAD 6800
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City | WEST PLAINS
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State | MO
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Zip | 65775-6316
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Country | US
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Telephone | 417-256-1630
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Fax |
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Provider Business Mailing Address
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Address Line | 2703 COUNTY ROAD 6800
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City | WEST PLAINS
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State | MO
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Zip | 65775-6316
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Country | US
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Telephone | 417-256-1630
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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 | 2083X0100X
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Taxonomy Name | Occupational Medicine Physician
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License Number | 016634
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License Number State | ME
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