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General NPI Number Information
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NPI Number | 1508099789
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Entity Type | Individual
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Provider Name | MORGAN KENNEDY MCEVOY D.M.D.
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Gender | Female
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Dates
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Enumeration Date | 09/03/2009
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Last Update Date | 12/21/2015
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Provider Practice Location Address
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Address Line | 22645 HWY 59 SOUTH
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City | ROBERTSDALE
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State | AL
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Zip | 36567-0000
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Country | US
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Telephone | 251-621-1370
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Fax | 251-621-1374
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Provider Business Mailing Address
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Address Line | 114 ORANGE AVE
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City | FAIRHOPE
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State | AL
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Zip | 36532-1200
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Country | US
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Telephone | 251-709-7040
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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 | 5688
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License Number State | AL
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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 | 9261
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License Number State | NC
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