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General NPI Number Information
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NPI Number | 1144364506
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Entity Type | Individual
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Provider Name | STANLEY E MORRISON D.D.S
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Gender | Female
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Dates
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Enumeration Date | 02/19/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 113 CROSS CREEK BLVD
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City | SALEM
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State | IL
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Zip | 62881-1921
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Country | US
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Telephone | 618-548-4480
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Fax | 618-548-4123
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Provider Business Mailing Address
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Address Line | 4423 LAKESHORE DR
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City | SALEM
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State | IL
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Zip | 62881-3738
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Country | US
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Telephone | 618-548-5808
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Fax | 618-548-4123
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State | IL
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