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General NPI Number Information
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NPI Number | 1629375936
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Entity Type | Organization
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Legal Business Name | JUSTIN L. MORRISON, DDS, PC
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Dates
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Enumeration Date | 02/23/2011
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Last Update Date | 02/18/2022
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Provider Practice Location Address
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Address Line | 10 BAYOU BRANDT DR
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City | BEAUMONT
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State | TX
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Zip | 77706
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Country | US
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Telephone | 409-866-3700
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Fax | 409-866-1738
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Provider Business Mailing Address
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Address Line | 10 BAYOU BRANDT DR
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City | BEAUMONT
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State | TX
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Zip | 77706
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Country | US
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Telephone | 409-866-3700
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Fax | 409-866-1738
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JUSTIN L. MORRISON
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Credential | DDS
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Telephone | 409-866-3700
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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 | TX 25640
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License Number State | TX
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