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General NPI Number Information
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NPI Number | 1750246120
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Entity Type | Individual
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Provider Name | JUANITA MORRIS
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Gender | Female
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Dates
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Enumeration Date | 12/18/2025
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Last Update Date | 12/18/2025
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Provider Practice Location Address
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Address Line | 850 HOWLAND WILSON RD NE
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City | WARREN
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State | OH
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Zip | 44484-2116
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Country | US
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Telephone | 216-260-1405
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Fax | 330-632-8823
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Provider Business Mailing Address
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Address Line | 2359 KNOLLWOOD AVE
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City | YOUNGSTOWN
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State | OH
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Zip | 44514-1525
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Country | US
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Telephone | 216-260-1405
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Fax | 330-632-8823
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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 | 172V00000X
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Taxonomy Name | Community Health Worker
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License Number | TU245477
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License Number State | OH
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