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General NPI Number Information
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NPI Number | 1134106305
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Entity Type | Individual
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Provider Name | BRUCE K MORGAN MD
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Gender | Male
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Dates
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Enumeration Date | 12/28/2005
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Last Update Date | 12/03/2007
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Provider Practice Location Address
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Address Line | 4959 HIGHWAY 83 NORTH
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City | SEELEY LAKE
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State | MT
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Zip | 59868
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Country | US
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Telephone | 406-677-0696
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 579
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City | SEELEY LAKE
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State | MT
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Zip | 59868-0579
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Country | US
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Telephone | 406-370-1224
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 10672
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License Number State | MT
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