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General NPI Number Information
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NPI Number | 1407041882
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Entity Type | Organization
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Legal Business Name | MORLEDGE FAMILY EYE FOUNDATION, PLLC
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Dates
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Enumeration Date | 09/10/2007
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Last Update Date | 08/13/2010
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Provider Practice Location Address
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Address Line | 1747 POLY DR
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City | BILLINGS
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State | MT
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Zip | 59102-1724
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Country | US
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Telephone | 406-294-1994
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Fax | 406-294-1996
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Provider Business Mailing Address
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Address Line | 1747 POLY DR
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City | BILLINGS
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State | MT
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Zip | 59102-1724
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Country | US
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Telephone | 406-294-1994
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Fax | 406-294-1996
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. SCOTT JOSEPH MORLEDGE-HAMPTON
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Credential | M.D.
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Telephone | 406-294-1994
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 10586
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License Number State | MT
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