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NPI Code Detail

MEDICARE: REBECCA PENFIELD MORSE

MEDICARE: REBECCA PENFIELD MORSE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker089-0000990VT

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1205932845
Entity Type Code : Individual
Provider Name (Legal Business Name) : REBECCA PENFIELD MORSE
Provider Business Mailing Address
First Line : 1138 PINE ST
Second Line :
City : BURLINGTON
State : VT
Zip : 05401-5353
Country : US
Telephone Number : 802-660-8197
Fax Number :
Provider Business Practice Location Address
First Line : 1138 PINE ST
Second Line :
City : BURLINGTON
State : VT
Zip : 05401-5353
Country : US
Telephone Number : 802-660-8197
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/14/2006
Last Update Date : 07/08/2007

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Directions to “ REBECCA PENFIELD MORSE ” Practice Location

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