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General NPI Number Information
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NPI Number | 1780799254
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Entity Type | Individual
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Provider Name | RACHEL K MORRISON PA
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Gender | Female
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Dates
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Enumeration Date | 08/21/2006
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Last Update Date | 01/03/2019
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Provider Practice Location Address
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Address Line | 890 E RIDGELAWN RD
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City | MARTINSVILLE
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State | IL
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Zip | 62442-2551
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Country | US
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Telephone | 217-382-4191
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Fax | 217-382-4248
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Provider Business Mailing Address
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Address Line | 1005 HEALTH CENTER DR STE 201
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City | MATTOON
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State | IL
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Zip | 61938-4693
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Country | US
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Telephone | 217-238-6055
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Fax | 217-258-2216
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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 | 85002747
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License Number State | IL
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