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General NPI Number Information
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NPI Number | 1740966084
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Entity Type | Individual
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Provider Name | MORGAN SUZANNE ENGELBRECHT DDS
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Gender | Female
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Dates
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Enumeration Date | 06/22/2023
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Last Update Date | 05/28/2024
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Provider Practice Location Address
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Address Line | 1601 GEORGIAN PARK
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City | PEACHTREE CITY
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State | GA
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Zip | 30269-6968
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Country | US
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Telephone | 770-629-9524
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Fax |
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Provider Business Mailing Address
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Address Line | 25 IVY LN
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City | SENOIA
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State | GA
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Zip | 30276-1553
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Country | US
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Telephone | 573-263-8818
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | DEN.00205627
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | DN123349
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License Number State | GA
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