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General NPI Number Information
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NPI Number | 1770559155
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Entity Type | Individual
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Provider Name | CHERYL ANN MORSE PA-C
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Gender | Female
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Dates
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Enumeration Date | 02/27/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 650 JOEL DR
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City | FORT CAMPBELL
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State | KY
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Zip | 42223-5349
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Country | US
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Telephone | 270-798-8327
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Fax |
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Provider Business Mailing Address
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Address Line | 1273 ARNOLD PL
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City | MADISONVILLE
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State | KY
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Zip | 42431-3311
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Country | US
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Telephone | 270-798-8258
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 567
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License Number State | NE
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA419
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License Number State | KY
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