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General NPI Number Information
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NPI Number | 1003098849
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Entity Type | Organization
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Legal Business Name | ALLAN H MORTON DOPC
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Dates
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Enumeration Date | 12/04/2007
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Last Update Date | 04/20/2008
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Provider Practice Location Address
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Address Line | 30101 HOOVER RD
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City | WARREN
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State | MI
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Zip | 48093-6572
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Country | US
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Telephone | 586-573-7000
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Fax | 586-573-3686
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Provider Business Mailing Address
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Address Line | 30101 HOOVER RD
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City | WARREN
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State | MI
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Zip | 48093-6572
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Country | US
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Telephone | 586-573-7000
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Fax | 586-573-3686
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Authorized Official
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Title or Position | PRES
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Name | ALLAN HARVEY MORTON
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Credential | DO
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Telephone | 586-573-7000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | AM006588
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License Number State | MI
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