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General NPI Number Information
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NPI Number | 1730310301
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Entity Type | Organization
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Legal Business Name | MORRISON COMPREHENSIVE LEARNING CENTER, LLC
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Dates
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Enumeration Date | 07/30/2009
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Last Update Date | 08/29/2016
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Provider Practice Location Address
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Address Line | 301 GOODE WAY SUITE 104
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City | PORTSMOUTH
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State | VA
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Zip | 23704-2266
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Country | US
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Telephone | 757-393-1300
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Fax | 757-393-2300
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Provider Business Mailing Address
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Address Line | 301 GOODE WAY SUITE 104
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City | PORTSMOUTH
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State | VA
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Zip | 23704-2266
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Country | US
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Telephone | 757-393-1300
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Fax | 757-393-2300
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Authorized Official
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Title or Position | CEO
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Name | DWAYNE MORRISON
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Credential | RN,BSN
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Telephone | 757-897-7844
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number | 0001134042
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 0001134042
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 0001134042
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License Number State | VA
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