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General NPI Number Information
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NPI Number | 1730710344
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Entity Type | Individual
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Provider Name | LISA NOELLE MORRIS NP
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Gender | Female
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Dates
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Enumeration Date | 02/01/2020
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Last Update Date | 12/12/2022
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Provider Practice Location Address
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Address Line | 4104 STATE HIGHWAY 30
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City | AMSTERDAM
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State | NY
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Zip | 12010-6202
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Country | US
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Telephone | 518-883-8634
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Fax | 518-883-8286
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Provider Business Mailing Address
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Address Line | 99 E STATE ST
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City | GLOVERSVILLE
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State | NY
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Zip | 12078-1293
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Country | US
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Telephone | 518-775-4205
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Fax | 518-775-4225
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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 | 95197351
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 863029
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | 95015036
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | 421623
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License Number State | NY
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