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General NPI Number Information
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NPI Number | 1306876990
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Entity Type | Individual
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Provider Name | ROCKY MAX MORGAN MD
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Gender | Male
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Dates
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Enumeration Date | 07/03/2006
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Last Update Date | 03/09/2010
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Provider Practice Location Address
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Address Line | 1725 E 19TH ST SUITE 800
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City | TULSA
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State | OK
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Zip | 74104-5472
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Country | US
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Telephone | 918-301-2505
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Fax | 918-744-3633
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Provider Business Mailing Address
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Address Line | 1725 E 19TH ST SUITE 800
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City | TULSA
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State | OK
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Zip | 74104-5472
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Country | US
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Telephone | 918-301-2505
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Fax | 918-744-3633
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 17305
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License Number State | OK
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Taxonomy #2
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Taxonomy Code | 2086S0127X
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Taxonomy Name | Trauma Surgery Physician
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License Number | 17305
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License Number State | OK
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