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General NPI Number Information
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NPI Number | 1538556147
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Entity Type | Organization
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Legal Business Name | LA TOYA C. MORRIS, DDS, INC.
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Dates
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Enumeration Date | 04/21/2015
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Last Update Date | 04/21/2015
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Provider Practice Location Address
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Address Line | 4423 DON ZAREMBO DR
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City | LOS ANGELES
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State | CA
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Zip | 90008-4118
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Country | US
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Telephone | 323-295-3397
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Fax | 323-295-3324
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Provider Business Mailing Address
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Address Line | 3701 STOCKER ST # 409
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City | LOS ANGELES
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State | CA
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Zip | 90008
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Country | US
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Telephone | 323-295-3397
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Fax | 323-295-3324
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Authorized Official
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Title or Position | DENTIST
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Name | DR. LA TOYA CHANGE MORRIS
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Credential | D.D.S.
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Telephone | 323-295-3397
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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 | 47759
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License Number State | CA
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