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General NPI Number Information
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NPI Number | 1750579074
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Entity Type | Organization
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Legal Business Name | MORNINGSTAR & CARROLL PA
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Dates
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Enumeration Date | 10/11/2007
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Last Update Date | 11/20/2010
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Provider Practice Location Address
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Address Line | 310 S SETON AVE
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City | EMMITSBURG
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State | MD
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Zip | 21727-9227
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Country | US
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Telephone | 301-447-6155
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Fax | 301-447-3289
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Provider Business Mailing Address
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Address Line | PO BOX 309
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City | EMMITSBURG
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State | MD
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Zip | 21727-0309
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Country | US
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Telephone | 301-447-6155
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Fax | 301-447-3289
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ALAN LEE CARROLL
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Credential | M.D.
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Telephone | 301-447-6156
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | D0018705
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License Number State | MD
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