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General NPI Number Information
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NPI Number | 1659549079
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Entity Type | Organization
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Legal Business Name | KENNETH C MORRIS, D.C., P.C.
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Dates
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Enumeration Date | 02/19/2008
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Last Update Date | 02/19/2008
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Provider Practice Location Address
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Address Line | 10515 BELLS FERRY RD SUITE 100
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City | CANTON
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State | GA
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Zip | 30114-4204
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Country | US
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Telephone | 770-704-0114
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Fax | 770-704-0115
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Provider Business Mailing Address
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Address Line | 10515 BELLS FERRY RD SUITE 100
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City | CANTON
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State | GA
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Zip | 30114-4204
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Country | US
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Telephone | 770-704-0114
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Fax | 770-704-0115
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MELISSA HUNTER
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Credential |
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Telephone | 770-704-0114
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | CHIR006629
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License Number State | GA
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