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General NPI Number Information
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NPI Number | 1730456732
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Entity Type | Individual
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Provider Name | BETSY MARIE MORRIS LCSW
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Gender | Female
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Dates
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Enumeration Date | 11/19/2011
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Last Update Date | 12/12/2016
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Provider Practice Location Address
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Address Line | 749 SW 11TH STREET
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City | NEWPORT
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State | OR
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Zip | 97365
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Country | US
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Telephone | 541-574-1811
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Fax | 541-574-3383
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Provider Business Mailing Address
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Address Line | PO BOX 2792
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City | CORVALLIS
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State | OR
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Zip | 97339-2792
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Country | US
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Telephone | 541-768-5254
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Fax | 541-768-5257
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | L3690
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License Number State | OR
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