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General NPI Number Information
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NPI Number | 1568986487
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Entity Type | Individual
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Provider Name | MORGAN CONRAD RICHARDS DMD
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Gender | Male
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Dates
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Enumeration Date | 08/02/2017
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Last Update Date | 09/16/2024
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Provider Practice Location Address
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Address Line | 3300 N 1200 W SUITE 203
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City | LEHI
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State | UT
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Zip | 84043
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Country | US
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Telephone | 850-272-9696
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Fax |
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Provider Business Mailing Address
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Address Line | 10816 N BLACK SHALE LOOP
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City | HIGHLAND
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State | UT
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Zip | 84003-4287
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Country | US
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Telephone | 850-272-9696
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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 | 13342387-9921
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License Number State | UT
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 33154
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 11537
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License Number State | TN
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Taxonomy #4
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 13342387-9923
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License Number State | UT
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