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General NPI Number Information
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NPI Number | 1922561570
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Entity Type | Individual
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Provider Name | MADISON MORRIS
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Gender | Female
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Dates
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Enumeration Date | 04/10/2019
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Last Update Date | 07/18/2023
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Provider Practice Location Address
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Address Line | 1250 BRANCHLANDS DR
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City | CHARLOTTESVILLE
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State | VA
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Zip | 22901-1703
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Country | US
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Telephone | 434-973-0311
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Fax |
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Provider Business Mailing Address
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Address Line | 148 WESTGATE DR
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City | WHEELING
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State | WV
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Zip | 26003-4958
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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 |
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | OT.0005932
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 119941
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 0119008340
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License Number State | VA
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