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General NPI Number Information
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NPI Number | 1639353030
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Entity Type | Organization
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Legal Business Name | MORTON MANOR, INC.
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Dates
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Enumeration Date | 12/20/2007
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Last Update Date | 12/20/2007
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Provider Practice Location Address
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Address Line | 7700 DIRGIE MINE RD
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City | ROXBORO
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State | NC
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Zip | 27574-7208
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Country | US
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Telephone | 336-597-3911
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Fax |
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Provider Business Mailing Address
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Address Line | 7700 DIRGIE MINE RD
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City | ROXBORO
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State | NC
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Zip | 27574-7208
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Country | US
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Telephone | 336-597-3911
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. RICHARD F LAPPIN SR.
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Credential |
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Telephone | 336-597-3911
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number | FCL073008
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License Number State | NC
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