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General NPI Number Information
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NPI Number | 1972608990
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Entity Type | Individual
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Provider Name | CHRISTINA DIANE MORSE N.P.
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Gender | Female
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Dates
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Enumeration Date | 09/14/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 101 DATES DR
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City | ITHACA
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State | NY
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Zip | 14850-1342
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Country | US
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Telephone | 607-274-4287
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Fax | 607-274-4288
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Provider Business Mailing Address
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Address Line | 1303 HONOCO RD
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City | AURORA
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State | NY
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Zip | 13026-9605
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Country | US
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Telephone | 315-364-7288
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Fax | 315-364-7288
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | F333099
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License Number State | NY
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