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General NPI Number Information
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NPI Number | 1821366279
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Entity Type | Individual
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Provider Name | JONETHAN MICHAEL MORRIS PHARM.D.
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Gender | Male
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Dates
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Enumeration Date | 12/13/2011
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Last Update Date | 06/27/2025
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Provider Practice Location Address
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Address Line | 146 S THOMAS ST STE B
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City | TUPELO
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State | MS
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Zip | 38801-5328
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Country | US
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Telephone | 662-260-3366
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Fax | 662-269-1568
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Provider Business Mailing Address
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Address Line | 146 S THOMAS ST STE B
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City | TUPELO
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State | MS
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Zip | 38801-5328
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Country | US
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Telephone | 662-260-3366
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Fax | 662-269-1568
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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 | 251F00000X
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Taxonomy Name | Home Infusion Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QI0500X
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Taxonomy Name | Infusion Therapy Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | P11723
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License Number State | MS
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