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General NPI Number Information
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NPI Number | 1346468980
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Entity Type | Organization
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Legal Business Name | MORTON CHIROPACTIC CLINIC
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Dates
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Enumeration Date | 04/20/2007
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Last Update Date | 08/18/2008
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Provider Practice Location Address
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Address Line | 55 EAST COMMERCE ST.
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City | HERNANDO
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State | MS
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Zip | 38632-2215
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Country | US
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Telephone | 662-429-6102
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Fax | 662-429-6044
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Provider Business Mailing Address
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Address Line | 55 EAST COMMERCE ST.
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City | HERNANDO
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State | MS
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Zip | 38632-2215
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Country | US
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Telephone | 662-429-6102
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Fax | 662-429-6044
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Authorized Official
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Title or Position | DIRECTOR
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Name | LEE VERNON MORTON
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Credential | D.C.
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Telephone | 662-429-6102
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 038004179
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 1094
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License Number State | MS
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Taxonomy #3
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 038010451
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License Number State | IL
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Taxonomy #4
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 122
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License Number State | MS
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