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General NPI Number Information
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NPI Number | 1316080856
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Entity Type | Individual
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Provider Name | KEVIN LANE MORRIS D.M.D
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Gender | Male
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Dates
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Enumeration Date | 02/15/2007
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Last Update Date | 08/12/2009
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Provider Practice Location Address
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Address Line | 2600 HIGHWAY 58 SUITE H
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City | HELENA
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State | AL
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Zip | 35080-3735
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Country | US
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Telephone | 205-620-1000
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Fax |
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Provider Business Mailing Address
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Address Line | 164 BELVEDERE PL
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City | ALABASTER
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State | AL
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Zip | 35007-3132
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Country | US
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Telephone | 205-663-2807
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 5479
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License Number State | AL
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