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General NPI Number Information
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NPI Number | 1154648640
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Entity Type | Individual
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Provider Name | TARGHEE JAMES MORRIS M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/23/2010
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Last Update Date | 06/20/2023
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Provider Practice Location Address
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Address Line | 336 W 100 S
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City | SPANISH FORK
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State | UT
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Zip | 84660-5881
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Country | US
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Telephone | 801-609-4476
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Fax | 801-734-3964
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Provider Business Mailing Address
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Address Line | 415 N MAIN ST
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City | SPANISH FORK
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State | UT
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Zip | 84660-1439
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Country | US
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Telephone | 801-609-4476
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Fax | 801-609-4476
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | 46511
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 208800000X
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Taxonomy Name | Urology Physician
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License Number | 8535063-8905
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License Number State | UT
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Taxonomy #3
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Taxonomy Code | 208800000X
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Taxonomy Name | Urology Physician
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License Number | 46511
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License Number State | KY
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