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General NPI Number Information
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NPI Number | 1508241712
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Entity Type | Organization
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Legal Business Name | MORRIS & ASSOCIATES DDS PA
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Dates
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Enumeration Date | 07/29/2015
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Last Update Date | 07/29/2015
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Provider Practice Location Address
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Address Line | 4742 LONG BEACH RD SE
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City | SOUTHPORT
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State | NC
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Zip | 28461-8721
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Country | US
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Telephone | 910-457-7167
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Fax |
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Provider Business Mailing Address
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Address Line | 4742 LONG BEACH RD SE
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City | SOUTHPORT
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State | NC
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Zip | 28461-8721
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Country | US
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Telephone | 910-457-7167
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Fax |
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Authorized Official
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Title or Position | DENTIST
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Name | CAMMIE MORRIS
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Credential | DDS
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Telephone | 910-457-7167
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 8605
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License Number State | NC
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