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General NPI Number Information
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NPI Number | 1982355723
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Entity Type | Individual
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Provider Name | RICKY MORRISON R.PH.
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Gender | Male
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Dates
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Enumeration Date | 01/13/2022
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Last Update Date | 01/13/2022
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Provider Practice Location Address
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Address Line | 3700 BROADWAY ST
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City | QUINCY
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State | IL
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Zip | 62305-2822
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Country | US
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Telephone | 217-228-1060
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Fax |
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Provider Business Mailing Address
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Address Line | 12060 COUNTRY MEADOWS PL
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City | HANNIBAL
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State | MO
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Zip | 63401-7617
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Country | US
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Telephone | 217-430-0987
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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 | 051.038014
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 051038014
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License Number State | IL
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