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NPI 1619104643

NPI 1619104643 : HONG T MORGAN RDH : AURORA, CO

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General NPI Number Information
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    NPI Number           |    1619104643
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    Entity Type          |    Individual 
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    Provider Name        |    HONG T MORGAN RDH
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    06/17/2009
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    Last Update Date     |    06/17/2009
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Provider Practice Location Address
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    Address Line         |    24112 E. ORCHARD ROAD BUILDING LF-09, UNIT E
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    City                 |    AURORA
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    State                |    CO
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    Zip                  |    80016-4724
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    Country              |    US
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    Telephone            |    303-457-5288
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    6000 S FRASER ST APT 7-303 
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    City                 |    CENTENNIAL
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    State                |    CO
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    Zip                  |    80016-4724
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    Country              |    US
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    Telephone            |    303-886-2397
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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        |    124Q00000X
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    Taxonomy Name        |    Dental Hygienist
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    License Number       |    905179
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    License Number State |    CO
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