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General NPI Number Information
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NPI Number | 1467760769
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Entity Type | Organization
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Legal Business Name | STEPHEN C MORRIS DDS PA
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Dates
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Enumeration Date | 09/21/2010
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Last Update Date | 09/21/2010
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Provider Practice Location Address
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Address Line | 5666 SEMINOLE BLVD SUITE #4
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City | SEMINOLE
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State | FL
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Zip | 33772-7328
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Country | US
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Telephone | 727-391-0273
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Fax | 727-391-1870
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Provider Business Mailing Address
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Address Line | 5666 SEMINOLE BLVD SUITE #4
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City | SEMINOLE
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State | FL
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Zip | 33772-7328
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Country | US
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Telephone | 727-391-0273
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Fax | 727-391-1870
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Authorized Official
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Title or Position | OWNER/ORAL SURGEON
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Name | DR. STEPHEN C MORRIS
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Credential | DDS
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Telephone | 727-391-0273
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QS0112X
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Taxonomy Name | Oral and Maxillofacial Surgery Clinic/Center
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License Number | DN0010351
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License Number State | FL
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