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General NPI Number Information
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NPI Number | 1952923369
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Entity Type | Individual
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Provider Name | MELANIE MARIE MORRIS LMBT
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Gender | Female
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Dates
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Enumeration Date | 05/08/2020
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Last Update Date | 05/08/2020
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Provider Practice Location Address
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Address Line | 9630 SHERRILL ESTATES RD STE B
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City | HUNTERSVILLE
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State | NC
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Zip | 28078-6551
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Country | US
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Telephone | 704-223-0939
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Fax |
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Provider Business Mailing Address
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Address Line | 2106 GINNIE SPRINGS DR
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City | KANNAPOLIS
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State | NC
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Zip | 28081-6495
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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 | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | 16288
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License Number State | NC
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