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General NPI Number Information
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NPI Number | 1790117612
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Entity Type | Individual
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Provider Name | WILLIAM TODD MORRISON LCSW
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Gender | Male
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Dates
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Enumeration Date | 08/01/2013
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Last Update Date | 08/01/2013
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Provider Practice Location Address
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Address Line | 1171 WINDSOR DR
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City | WATKINSVILLE
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State | GA
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Zip | 30677-2335
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Country | US
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Telephone | 706-310-0043
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Fax | 706-613-3293
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Provider Business Mailing Address
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Address Line | 1171 WINDSOR DR
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City | WATKINSVILLE
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State | GA
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Zip | 30677-2335
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Country | US
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Telephone | 706-310-0043
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Fax | 706-613-3293
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | CWS004764
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License Number State | GA
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