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NPI 1235340803

NPI 1235340803 : LARRY J. MORAY, DDS, MS, PA : ROCKY MOUNT, NC

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General NPI Number Information
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    NPI Number           |    1235340803
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    Entity Type          |    Organization 
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    Legal Business Name  |    LARRY J. MORAY, DDS, MS, PA 
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Dates
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    Enumeration Date     |    05/25/2007
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    Last Update Date     |    02/09/2021
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Provider Practice Location Address
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    Address Line         |    120 CLINTON CT 
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    City                 |    ROCKY MOUNT
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    State                |    NC
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    Zip                  |    27804-2403
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    Country              |    US
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    Telephone            |    524-511-0102
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1717 LEGION RD SUITE 203
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    City                 |    CHAPEL HILL
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    State                |    NC
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    Zip                  |    27517-2396
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    Country              |    US
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    Telephone            |    919-240-7280
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    Fax                  |    919-240-7316
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |    DR. LAWRENCE JOEL MORAY 
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    Credential           |    DDS, MS
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    Telephone            |    919-240-7280
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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       |    
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    License Number State |    
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