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General NPI Number Information
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NPI Number | 1780035287
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Entity Type | Individual
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Provider Name | MICHAEL MORAN DDS
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Gender | Male
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Dates
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Enumeration Date | 06/27/2016
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Last Update Date | 09/23/2025
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Provider Practice Location Address
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Address Line | 2215 N 30TH ST STE 104
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City | TACOMA
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State | WA
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Zip | 98403-3350
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Country | US
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Telephone | 253-627-5433
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Fax |
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Provider Business Mailing Address
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Address Line | 3821 N 7TH ST
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City | TACOMA
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State | WA
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Zip | 98406-4909
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Country | US
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Telephone | 262-442-0618
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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 | 1223E0200X
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Taxonomy Name | Endodontics
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License Number | DE60681930
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License Number State | WA
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