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General NPI Number Information
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NPI Number | 1912850561
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Entity Type | Individual
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Provider Name | SHANNON MICHELLE MORRILL
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Gender | Female
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Dates
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Enumeration Date | 02/16/2026
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Last Update Date | 02/16/2026
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Provider Practice Location Address
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Address Line | 215 BATESVILLE RD # B
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City | SIMPSONVILLE
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State | SC
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Zip | 29681-4816
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Country | US
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Telephone | 864-233-5128
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Fax | 864-271-2599
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Provider Business Mailing Address
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Address Line | 108 SYLVAN OAK WAY
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City | SIMPSONVILLE
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State | SC
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Zip | 29681-2561
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Country | US
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Telephone | 508-282-2147
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 13277
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License Number State | SC
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