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General NPI Number Information
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NPI Number | 1053011494
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Entity Type | Individual
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Provider Name | REESE MORNINGSTAR DDS
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Gender | Female
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Dates
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Enumeration Date | 03/06/2023
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Last Update Date | 02/18/2025
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Provider Practice Location Address
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Address Line | 8525 BOAT CLUB RD
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City | FORT WORTH
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State | TX
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Zip | 76179-3600
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Country | US
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Telephone | 817-318-7088
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Fax |
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Provider Business Mailing Address
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Address Line | 7612 ROYAL TROON DR
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City | FORT WORTH
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State | TX
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Zip | 76179-3174
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Country | US
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Telephone | 817-948-2956
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Fax |
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 40522
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License Number State | TX
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