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General NPI Number Information
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NPI Number | 1912167255
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Entity Type | Organization
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Legal Business Name | JUTTA MORRIS INC
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Dates
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Enumeration Date | 06/10/2008
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Last Update Date | 06/10/2008
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Provider Practice Location Address
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Address Line | 1 MAIN ST STE 200
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City | TEQUESTA
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State | FL
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Zip | 33469-4711
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Country | US
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Telephone | 561-386-6097
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Fax |
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Provider Business Mailing Address
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Address Line | 1228 MERLOT DR
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City | PALM BEACH GARDENS
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State | FL
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Zip | 33410-1528
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PROVIDER
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Name | JUTTA MORRIS
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Credential |
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Telephone | 561-386-6097
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | MH9199
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License Number State | FL
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