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General NPI Number Information
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NPI Number | 1912391814
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Entity Type | Individual
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Provider Name | TYLER EDWARDS MORRISON MD
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Gender | Male
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Dates
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Enumeration Date | 03/28/2015
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Last Update Date | 01/14/2023
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Provider Practice Location Address
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Address Line | 3665 KEARNY VILLA RD STE 101
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City | SAN DIEGO
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State | CA
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Zip | 92123-1954
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Country | US
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Telephone | 858-966-8999
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Fax |
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Provider Business Mailing Address
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Address Line | 888 PROSPECT ST STE 200-1120
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City | LA JOLLA
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State | CA
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Zip | 92037-4260
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Country | US
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Telephone | 858-224-2534
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Fax | 512-256-9814
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | A144917
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number | A144917
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License Number State | CA
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