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General NPI Number Information
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NPI Number | 1447342977
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Entity Type | Individual
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Provider Name | PAUL GREGORY MORTON M.D.
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Gender | Male
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Dates
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Enumeration Date | 09/29/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1 VA CTR TOGUS VA MEDICAL CENTER
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City | AUGUSTA
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State | ME
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Zip | 04330-6719
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Country | US
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Telephone | 207-623-5713
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Fax |
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Provider Business Mailing Address
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Address Line | 41 PARSONS DR
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City | NORWAY
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State | ME
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Zip | 04268-5313
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Country | US
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Telephone | 207-744-0268
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 015389
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License Number State | ME
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