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General NPI Number Information
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NPI Number | 1568681658
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Entity Type | Organization
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Legal Business Name | LARRY J MORAY DDS, MS, PA
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Dates
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Enumeration Date | 04/25/2007
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Last Update Date | 03/15/2023
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Provider Practice Location Address
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Address Line | 933 ROCKFORD ST STE 4
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City | MOUNT AIRY
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State | NC
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Zip | 27030-5323
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Country | US
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Telephone | 336-789-4742
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Fax | 336-844-2283
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Provider Business Mailing Address
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Address Line | 5011 SOUTHPARK DR STE 220
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City | DURHAM
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State | NC
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Zip | 27713-7738
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Country | US
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Telephone | 919-240-7280
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Fax | 919-240-7316
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Authorized Official
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Title or Position | OWNER
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Name | LAWRENCE JOEL MORAY
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Credential | DDS, MS
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Telephone | 919-240-7280
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 5934
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License Number State | NC
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