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General NPI Number Information
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NPI Number | 1861861312
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Entity Type | Individual
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Provider Name | TERESA MORRIS LMFT
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Gender | Female
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Dates
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Enumeration Date | 09/15/2015
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Last Update Date | 09/15/2015
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Provider Practice Location Address
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Address Line | 425 COON RAPIDS BLVD NW STE 200
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City | COON RAPIDS
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State | MN
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Zip | 55433-2753
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Country | US
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Telephone | 763-784-3008
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Fax |
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Provider Business Mailing Address
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Address Line | 948 COUNTY ROAD I W
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City | SHOREVIEW
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State | MN
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Zip | 55126-1315
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Country | US
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Telephone | 651-707-6415
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 2181
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License Number State | MN
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