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General NPI Number Information
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NPI Number | 1003954819
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Entity Type | Individual
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Provider Name | MELISSA ANN MORLEY DMD
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Gender | Female
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Dates
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Enumeration Date | 02/02/2007
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Last Update Date | 02/19/2025
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Provider Practice Location Address
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Address Line | 7562 OLD ROUTE 13
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City | MARION
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State | IL
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Zip | 62959-7776
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Country | US
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Telephone | 618-993-8333
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Fax | 618-993-8335
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Provider Business Mailing Address
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Address Line | PO BOX 2314
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City | CARBONDALE
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State | IL
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Zip | 62902-2314
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Country | US
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Telephone | 618-559-6662
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Fax | 618-993-8335
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 2023027809
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 019.024825
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 019.024825
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License Number State | IL
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Taxonomy #4
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 12012574A
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License Number State | IN
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