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General NPI Number Information
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NPI Number | 1205313715
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Entity Type | Individual
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Provider Name | RYAN STEPHEN MORRIS DDS, MS
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Gender | Male
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Dates
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Enumeration Date | 07/26/2018
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Last Update Date | 10/06/2022
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Provider Practice Location Address
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Address Line | 3707 N CANYON RD STE 8D
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City | PROVO
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State | UT
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Zip | 84604-4528
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Country | US
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Telephone | 801-224-9900
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Fax |
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Provider Business Mailing Address
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Address Line | 151 N 600 E
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City | OREM
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State | UT
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Zip | 84097-4838
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Country | US
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Telephone | 208-867-0209
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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 | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 019.031507
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 12726069-9921
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License Number State | UT
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