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General NPI Number Information
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NPI Number | 1881601631
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Entity Type | Individual
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Provider Name | CARYN L MORRISON OD
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Gender | Female
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Dates
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Enumeration Date | 08/02/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1302 SW ST LUCIE WEST BLVD
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City | PORT ST LUCIE
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State | FL
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Zip | 34951
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Country | US
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Telephone | 772-340-2929
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Fax | 772-468-2134
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Provider Business Mailing Address
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Address Line | 2201 S 10TH ST
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City | FORT PIERCE
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State | FL
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Zip | 34950-5382
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Country | US
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Telephone | 772-461-5660
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Fax | 772-468-2134
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | OPC1887
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License Number State | FL
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