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General NPI Number Information
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NPI Number | 1487338794
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Entity Type | Individual
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Provider Name | DYLAN MITCHELL MORROW DDS
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Gender | Male
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Dates
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Enumeration Date | 06/15/2023
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Last Update Date | 06/25/2023
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Provider Practice Location Address
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Address Line | 103 WILLOW BEND DR STE 100
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City | WILLOW PARK
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State | TX
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Zip | 76008-5741
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Country | US
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Telephone | 817-576-1407
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Fax |
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Provider Business Mailing Address
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Address Line | 200 NURSERY LN APT 4419
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City | FORT WORTH
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State | TX
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Zip | 76114-4374
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Country | US
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Telephone | 214-578-7810
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 39732
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 39732
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License Number State | TX
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