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General NPI Number Information
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NPI Number | 1699741165
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Entity Type | Individual
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Provider Name | ISAIAH PURNELL MORRISON III D.D.S.
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Gender | Male
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Dates
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Enumeration Date | 02/24/2006
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Last Update Date | 11/07/2013
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Provider Practice Location Address
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Address Line | 3863 ALABAMA AVE. SE
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City | WASHINGTON
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State | DC
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Zip | 20020
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Country | US
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Telephone | 202-889-8200
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Fax | 202-889-5891
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Provider Business Mailing Address
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Address Line | 3863 ALABAMA AVE. SE
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City | WASHINGTON
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State | DC
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Zip | 20020
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Country | US
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Telephone | 202-889-8200
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Fax | 202-889-5891
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | DEN3054
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License Number State | DC
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