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General NPI Number Information
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NPI Number | 1285086355
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Entity Type | Organization
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Legal Business Name | MORRISON ORTHODONTICS, PLLC
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Dates
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Enumeration Date | 07/12/2016
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Last Update Date | 07/12/2016
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Provider Practice Location Address
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Address Line | 2080 E MURRAY HOLLADAY RD
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City | SALT LAKE CITY
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State | UT
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Zip | 84117-5132
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Country | US
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Telephone | 801-278-7272
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Fax |
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Provider Business Mailing Address
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Address Line | 378 S 1350 W
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City | FARMINGTON
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State | UT
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Zip | 84025-4745
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Country | US
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Telephone | 402-595-0717
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. MICHAEL W MORRISON
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Credential | DDS, MSD
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Telephone | 801-278-7272
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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 | 22041309922
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License Number State | UT
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