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General NPI Number Information
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NPI Number | 1538183157
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Entity Type | Individual
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Provider Name | JENNIFER MARIE MORRISSEY-PATTON DMD
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Gender | Female
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Dates
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Enumeration Date | 07/27/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 425 EMERY DR
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City | HOOVER
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State | AL
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Zip | 35244-4567
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Country | US
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Telephone | 205-989-8480
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Fax | 205-989-8931
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Provider Business Mailing Address
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Address Line | 425 EMERY DR
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City | HOOVER
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State | AL
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Zip | 35244-4567
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Country | US
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Telephone | 205-989-8480
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Fax | 205-989-8931
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | AL5055
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License Number State | AL
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