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General NPI Number Information
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NPI Number | 1174680185
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Entity Type | Organization
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Legal Business Name | KENNETH L P MORTON MD PC
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Dates
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Enumeration Date | 01/02/2007
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Last Update Date | 11/30/2007
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Provider Practice Location Address
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Address Line | 14655 BEL RED RD SUITE 203
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City | BELLEVUE
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State | WA
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Zip | 98007-3900
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Country | US
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Telephone | 425-562-6135
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Fax | 425-562-9085
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Provider Business Mailing Address
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Address Line | 14655 BEL RED RD SUITE 203
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City | BELLEVUE
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State | WA
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Zip | 98007-3900
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Country | US
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Telephone | 425-562-6135
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Fax | 425-562-9085
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Authorized Official
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Title or Position | OPHTHALMOLOGIST
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Name | KENNETH LAURENCE MORTON
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Credential | MD
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Telephone | 425-562-6135
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 27312
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License Number State | WA
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