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General NPI Number Information
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NPI Number | 1730406026
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Entity Type | Organization
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Legal Business Name | MORGAN FAMILY DENTISTRY
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Dates
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Enumeration Date | 04/26/2010
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Last Update Date | 08/01/2022
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Provider Practice Location Address
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Address Line | 2201 BROTHERS RD
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City | SANTA FE
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State | NM
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Zip | 87505
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Country | US
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Telephone | 505-988-4119
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Fax | 505-988-1405
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Provider Business Mailing Address
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Address Line | 2201 BROTHERS RD
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City | SANTA FE
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State | NM
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Zip | 87505
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Country | US
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Telephone | 505-988-4119
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Fax | 505-988-1405
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Authorized Official
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Title or Position | DENTIST/OWNER
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Name | DR. CHRISTOPHER DAVID MORGAN
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Credential | DMD
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Telephone | 505-988-4119
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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 | DD3265
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License Number State | NM
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