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General NPI Number Information
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NPI Number | 1730482969
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Entity Type | Individual
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Provider Name | JENNIFER ANN MORRISON R.PH.
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Gender | Female
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Dates
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Enumeration Date | 12/09/2010
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Last Update Date | 12/09/2010
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Provider Practice Location Address
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Address Line | 350 PATTESON DR
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City | MORGANTOWN
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State | WV
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Zip | 26505-3232
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Country | US
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Telephone | 304-599-5706
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Fax |
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Provider Business Mailing Address
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Address Line | 279 BUCKHANNON AVE
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City | MORGANTOWN
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State | WV
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Zip | 26501-7705
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Country | US
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Telephone | 304-292-7778
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 6050
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License Number State | WV
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