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General NPI Number Information
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NPI Number | 1972119469
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Entity Type | Individual
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Provider Name | DEANNA A MORRISON RPH
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Gender | Female
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Dates
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Enumeration Date | 09/20/2020
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Last Update Date | 09/20/2020
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Provider Practice Location Address
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Address Line | 353 W GRANADA BLVD
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City | ORMOND BEACH
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State | FL
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Zip | 32174-6275
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Country | US
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Telephone | 386-677-4070
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Fax |
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Provider Business Mailing Address
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Address Line | 200 SANDS PARC BLVD APT 101
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City | DAYTONA BEACH
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State | FL
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Zip | 32117-0038
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Country | US
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Telephone | 904-401-4355
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PS54677
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License Number State | FL
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