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General NPI Number Information
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NPI Number | 1508402298
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Entity Type | Organization
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Legal Business Name | MORGAN K. STRAWN, DMD, LLC
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Dates
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Enumeration Date | 11/18/2019
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Last Update Date | 08/27/2020
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Provider Practice Location Address
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Address Line | 24 N CHURCH ST STE 206
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City | WAILUKU
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State | HI
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Zip | 96793-1606
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Country | US
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Telephone | 808-242-0077
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Fax |
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Provider Business Mailing Address
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Address Line | 24 N CHURCH ST STE 206
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City | WAILUKU
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State | HI
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Zip | 96793-1606
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Country | US
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Telephone | 808-242-0077
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MORGAN KATHERINE STRAWN
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Credential | DMD
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Telephone | 985-630-1255
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number |
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License Number State |
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