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General NPI Number Information
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NPI Number | 1710605647
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Entity Type | Individual
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Provider Name | MORGAN MARION ZWICKEL DMD
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Gender | Female
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Dates
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Enumeration Date | 08/17/2022
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Last Update Date | 08/17/2022
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Provider Practice Location Address
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Address Line | 824 EGLIN PKWY NE
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City | FORT WALTON BEACH
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State | FL
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Zip | 32547-2530
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Country | US
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Telephone | 850-244-3880
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Fax |
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Provider Business Mailing Address
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Address Line | 150 LATONKA DR
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City | MERCER
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State | PA
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Zip | 16137-9360
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Country | US
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Telephone | 724-816-4548
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Fax |
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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 | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | DN25447
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License Number State | FL
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