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General NPI Number Information
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NPI Number | 1518133412
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Entity Type | Organization
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Legal Business Name | DR. GARY L. MORRIS D.D.S. P.L.L.C.
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Dates
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Enumeration Date | 05/01/2008
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Last Update Date | 05/01/2008
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Provider Practice Location Address
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Address Line | 294 UPPER MAIN ST
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City | MORRISVILLE
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State | VT
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Zip | 05661-8000
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Country | US
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Telephone | 802-888-7766
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Fax |
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Provider Business Mailing Address
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Address Line | 294 UPPER MAIN ST
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City | MORRISVILLE
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State | VT
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Zip | 05661-8000
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | D.D.S.
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Name | GARY MORRIS
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Credential |
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Telephone | 802-888-7766
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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 | 016-0001187
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License Number State | VT
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