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General NPI Number Information
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NPI Number | 1306469283
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Entity Type | Individual
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Provider Name | DANIEL JOHN MORCOS DMD
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Gender | Male
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Dates
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Enumeration Date | 05/26/2020
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Last Update Date | 07/08/2024
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Provider Practice Location Address
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Address Line | 309 SW 59TH ST STE 105
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City | OKLAHOMA CITY
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State | OK
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Zip | 73109-8322
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Country | US
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Telephone | 405-631-2700
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Fax |
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Provider Business Mailing Address
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Address Line | 105 S CESAR CHAVEZ RD STE 2
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City | SAN JUAN
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State | TX
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Zip | 78589-5203
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Country | US
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Telephone | 956-702-2482
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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 | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 7898
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License Number State | OK
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