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General NPI Number Information
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NPI Number | 1619099926
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Entity Type | Organization
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Legal Business Name | W GREGORY MORGAN III MD PC
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Dates
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Enumeration Date | 04/06/2007
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Last Update Date | 09/14/2020
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Provider Practice Location Address
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Address Line | 1705 RENAISSANCE BLVD SUITE 100
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City | EDMOND
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State | OK
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Zip | 73013-3041
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Country | US
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Telephone | 405-715-4496
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Fax | 405-682-8044
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Provider Business Mailing Address
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Address Line | 6608 N WESTERN AVE # 493
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City | OKLAHOMA CITY
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State | OK
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Zip | 73116-7326
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Country | US
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Telephone | 405-418-4800
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Fax | 405-418-4820
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Authorized Official
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Title or Position | OWNER DOCTOR
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Name | WILLIAM GREGORY MORGAN
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Credential | MD
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Telephone | 405-359-5477
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 10222
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License Number State | OK
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