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General NPI Number Information
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NPI Number | 1912916875
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Entity Type | Individual
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Provider Name | LINDA SUE MORTON R.D.,L.D.
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Gender | Female
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Dates
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Enumeration Date | 08/07/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 103 E.MAIN ST. BRANSON DRUG,
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City | BRANSON
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State | MO
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Zip | 65616-2713
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Country | US
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Telephone | 417-334-3187
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Fax | 417-334-3309
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Provider Business Mailing Address
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Address Line | 700 VALLEY VIEW DR
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City | BRANSON
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State | MO
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Zip | 65616-2370
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Country | US
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Telephone | 417-334-7118
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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 | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | 20010008561
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License Number State | MO
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