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General NPI Number Information
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NPI Number | 1730682154
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Entity Type | Organization
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Legal Business Name | DANIEL MORGAN DDS INC II
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Dates
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Enumeration Date | 03/12/2018
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Last Update Date | 03/12/2018
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Provider Practice Location Address
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Address Line | 4960 ARLINGTON AVE
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City | RIVERSIDE
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State | CA
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Zip | 92504-2738
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Country | US
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Telephone | 626-353-9685
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Fax |
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Provider Business Mailing Address
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Address Line | 2130 HILL CT
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City | COLTON
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State | CA
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Zip | 92324-9512
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Country | US
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Telephone | 626-353-9685
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. DANIEL MORGAN
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Credential | DDS, MSD
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Telephone | 626-353-9685
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number | 56331
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License Number State | CA
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