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General NPI Number Information
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NPI Number | 1598925760
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Entity Type | Organization
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Legal Business Name | LARRY B MORRIS, D.M.D., P.C.
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Dates
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Enumeration Date | 06/11/2008
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Last Update Date | 06/11/2008
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Provider Practice Location Address
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Address Line | 61 N WILLOW ST STE 1
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City | MESQUITE
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State | NV
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Zip | 89027-4786
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Country | US
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Telephone | 702-346-2882
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Fax | 702-346-8714
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Provider Business Mailing Address
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Address Line | 61 N WILLOW ST STE 1
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City | MESQUITE
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State | NV
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Zip | 89027-4786
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Country | US
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Telephone | 702-346-2882
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Fax | 702-346-8714
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | DR. LARRY B MORRIS
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Credential | D.M.D.
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Telephone | 702-346-2882
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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 |
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License Number State | NV
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