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NPI Code Detail

MEDICARE: MRS. PATRICIA B MORRIS RD,LDN,CDE

MEDICARE:  MRS. PATRICIA B MORRIS  RD,LDN,CDE
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
1133V00000XRegistered DietitianDN0000085PA

General Provider Information

NPI Number : 1740491166
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. PATRICIA B MORRIS RD,LDN,CDE
Provider Business Mailing Address
First Line : 1324 CINNAMON DR
Second Line :
City : FORT WASHINGTON
State : PA
Zip : 19034-2815
Country : US
Telephone Number : 215-542-0776
Fax Number :
Provider Business Practice Location Address
First Line : 1324 CINNAMON DR
Second Line :
City : FORT WASHINGTON
State : PA
Zip : 19034-2815
Country : US
Telephone Number : 215-542-0776
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/25/2007
Last Update Date : 07/10/2008

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Directions to “ MRS. PATRICIA B MORRIS RD,LDN,CDE” Practice Location

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