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General NPI Number Information
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NPI Number | 1720658347
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Entity Type | Individual
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Provider Name | IREANNA BER'SCHIRRA MORRALL RN
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Gender | Female
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Dates
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Enumeration Date | 06/26/2021
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Last Update Date | 06/26/2021
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Provider Practice Location Address
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Address Line | 6635 BASS RD BLDG 9214
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City | FORT BENNING
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State | GA
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Zip | 31905-5602
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Country | US
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Telephone | 706-257-7200
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Fax |
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Provider Business Mailing Address
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Address Line | 476 CHANNING DR
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City | RICHMOND HILL
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State | GA
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Zip | 31324-9370
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Country | US
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Telephone | 843-424-7263
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 225281
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License Number State | SC
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