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General NPI Number Information
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NPI Number | 1366620098
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Entity Type | Organization
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Legal Business Name | CAROL F. MORGAN, DDS, VB, PLLC
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Dates
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Enumeration Date | 02/05/2008
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Last Update Date | 02/05/2008
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Provider Practice Location Address
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Address Line | 984 FIRST COLONIAL RD SUITE 101
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City | VIRGINIA BEACH
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State | VA
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Zip | 23454-3196
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Country | US
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Telephone | 757-412-1400
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Fax | 757-412-0377
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Provider Business Mailing Address
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Address Line | 984 FIRST COLONIAL RD SUITE 101
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City | VIRGINIA BEACH
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State | VA
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Zip | 23454-3196
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Country | US
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Telephone | 757-412-1400
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Fax | 757-412-0377
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. CAROL F. MORGAN
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Credential | DDS
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Telephone | 757-412-1400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number | 0401008273
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License Number State | VA
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