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General NPI Number Information
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NPI Number | 1639221138
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Entity Type | Organization
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Legal Business Name | DEAN A MORREL DO
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Dates
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Enumeration Date | 01/17/2007
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Last Update Date | 06/16/2008
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Provider Practice Location Address
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Address Line | 1069 CENTRAL ST
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City | LEOMINSTER
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State | MA
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Zip | 01453-4805
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Country | US
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Telephone | 978-534-3500
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Fax |
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Provider Business Mailing Address
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Address Line | 1069 CENTRAL ST
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City | LEOMINSTER
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State | MA
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Zip | 01453-4805
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Country | US
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Telephone | 978-534-3500
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DEAN ALAN MORREL
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Credential | D.O.
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Telephone | 978-534-3500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 59588
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License Number State | MA
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