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General NPI Number Information
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NPI Number | 1093823692
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Entity Type | Organization
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Legal Business Name | MORGAN VISION CENTER PA
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Dates
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Enumeration Date | 08/25/2006
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Last Update Date | 10/10/2007
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Provider Practice Location Address
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Address Line | 1456 BELT LINE RD SUITE 129
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City | GARLAND
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State | TX
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Zip | 75044-6802
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Country | US
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Telephone | 214-227-4342
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Fax |
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Provider Business Mailing Address
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Address Line | 108 CARRINGTON DR
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City | ROCKWALL
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State | TX
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Zip | 75032-9198
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Country | US
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Telephone |
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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. D. L. MORGAN
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Credential | O.D.
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Telephone | 214-227-4342
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 06518T
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License Number State | TX
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