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General NPI Number Information
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NPI Number | 1013038447
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Entity Type | Organization
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Legal Business Name | MORGAN AND MORIO ORAL AND MAXILLOFACIAL SURGERY
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Dates
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Enumeration Date | 04/03/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1395 BOYSON RD
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City | HIAWATHA
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State | IA
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Zip | 52233-2210
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Country | US
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Telephone | 319-743-0077
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Fax | 319-743-0102
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Provider Business Mailing Address
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Address Line | 1395 BOYSON RD
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City | HIAWATHA
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State | IA
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Zip | 52233-2210
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Country | US
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Telephone | 319-743-0077
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Fax | 319-743-0102
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DOMINIC G MORIO
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Credential | D.D.S., M.S.
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Telephone | 319-743-0077
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | 08382
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License Number State | IA
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Taxonomy #2
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | 08116
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License Number State | IA
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