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General NPI Number Information
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NPI Number | 1013030956
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Entity Type | Organization
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Legal Business Name | MORRIS S MINTON MD PA
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Dates
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Enumeration Date | 04/07/2007
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Last Update Date | 03/06/2008
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Provider Practice Location Address
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Address Line | 315 YADKIN ST
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City | ALBEMARLE
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State | NC
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Zip | 28001-3441
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Country | US
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Telephone | 704-982-4480
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 552065
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City | TAMPA
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State | FL
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Zip | 33655-2065
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Country | US
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Telephone | 704-982-4480
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MORRIS MINTON
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Credential | MD
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Telephone | 704-982-4480
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number |
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License Number State |
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