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General NPI Number Information
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NPI Number | 1790128825
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Entity Type | Individual
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Provider Name | RYAN CARL MORRISON DMD
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Gender | Male
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Dates
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Enumeration Date | 04/08/2013
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Last Update Date | 06/28/2021
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Provider Practice Location Address
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Address Line | 1516 SKYLAND BLVD E
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City | TUSCALOOSA
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State | AL
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Zip | 35405-4232
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Country | US
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Telephone | 601-431-9886
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Fax |
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Provider Business Mailing Address
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Address Line | 604 WILD FOREST DR
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City | BIRMINGHAM
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State | AL
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Zip | 35209-6748
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Country | US
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Telephone | 601-431-9886
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 6068
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License Number State | AL
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