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General NPI Number Information
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NPI Number | 1235616053
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Entity Type | Organization
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Legal Business Name | RONALD J. MORTON DMD, PC
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Dates
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Enumeration Date | 07/24/2018
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Last Update Date | 07/24/2018
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Provider Practice Location Address
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Address Line | 1035 MAIN AVE
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City | WARWICK
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State | RI
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Zip | 02886-1939
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Country | US
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Telephone | 401-737-3330
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Fax | 401-739-3255
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Provider Business Mailing Address
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Address Line | 1035 MAIN AVE
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City | WARWICK
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State | RI
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Zip | 02886-1939
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Country | US
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Telephone | 401-737-3330
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Fax | 401-739-3255
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Authorized Official
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Title or Position | OWNER
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Name | DR. RONALD J. MORTON
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Credential | DMD
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Telephone | 401-737-3330
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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 | 1921
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License Number State | RI
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