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General NPI Number Information
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NPI Number | 1114534484
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Entity Type | Individual
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Provider Name | DAVID TIMOTHY MORRIS PA-C
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Gender | Male
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Dates
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Enumeration Date | 09/30/2020
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Last Update Date | 11/26/2024
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Provider Practice Location Address
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Address Line | 5228 W PLANO PKWY
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City | PLANO
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State | TX
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Zip | 75093-5005
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Country | US
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Telephone | 972-250-5700
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Fax |
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Provider Business Mailing Address
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Address Line | 733 FORT JOHNSON RD UNIT A
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City | CHARLESTON
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State | SC
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Zip | 29412-9165
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Country | US
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Telephone | 951-901-0431
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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 | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | PA14063
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License Number State | TX
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