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General NPI Number Information
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NPI Number | 1144773821
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Entity Type | Organization
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Legal Business Name | MORGAN A EMERY
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Dates
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Enumeration Date | 07/28/2016
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Last Update Date | 07/28/2016
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Provider Practice Location Address
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Address Line | 2901 DOUGHERTY FERRY RD SUITE 400
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City | SAINT LOUIS
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State | MO
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Zip | 63122-3309
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Country | US
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Telephone | 314-403-7757
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Fax | 184-448-0175
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Provider Business Mailing Address
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Address Line | 2901 DOUGHERTY FERRY RD SUITE 400
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City | SAINT LOUIS
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State | MO
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Zip | 63122-3309
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Country | US
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Telephone | 314-403-7757
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Fax | 184-448-0175
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Authorized Official
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Title or Position | OWNER
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Name | DR. MORGAN ASHLEY EMERY
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Credential | D.D.S.
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Telephone | 314-403-7757
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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 | 2012016531
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License Number State | MO
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