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General NPI Number Information
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NPI Number | 1528026135
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Entity Type | Individual
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Provider Name | RICKEY ALLEN MORLEN D.M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/03/2006
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Last Update Date | 04/21/2020
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Provider Practice Location Address
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Address Line | 2002 HOLCOMB BLVD DENTAL
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City | HOUSTON
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State | TX
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Zip | 77030
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Country | US
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Telephone | 713-791-1414
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Fax |
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Provider Business Mailing Address
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Address Line | 607 NORTH COMMONS VIEW DR.
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City | HUFFMAN
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State | TX
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Zip | 77336
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Country | US
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Telephone | 706-421-9528
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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 | 019023599
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | DD2900
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License Number State | NM
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Taxonomy #3
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | 22762
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License Number State | TX
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