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General NPI Number Information
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NPI Number | 1669644530
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Entity Type | Organization
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Legal Business Name | TIMOTHY A MORRIS DDS INC
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Dates
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Enumeration Date | 03/31/2008
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Last Update Date | 08/06/2008
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Provider Practice Location Address
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Address Line | 2223 FULTON RD NW SUITE 201
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City | CANTON
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State | OH
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Zip | 44709-3554
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Country | US
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Telephone | 330-455-7613
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Fax | 330-455-1920
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Provider Business Mailing Address
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Address Line | 2223 FULTON RD NW SUITE 201
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City | CANTON
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State | OH
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Zip | 44709-3554
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Country | US
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Telephone | 330-455-7613
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Fax | 330-455-1920
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. TIMOTHY ANDREW MORRIS
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Credential | DDS
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Telephone | 330-455-7613
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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 |
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License Number State |
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