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General NPI Number Information
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NPI Number | 1790998938
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Entity Type | Organization
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Legal Business Name | DAVID M. MORFORD, DPM, LLC
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Dates
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Enumeration Date | 05/07/2007
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Last Update Date | 11/08/2007
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Provider Practice Location Address
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Address Line | 1910 VINDICATOR DR SUITE 102
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City | COLORADO SPRINGS
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State | CO
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Zip | 80919-3623
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Country | US
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Telephone | 719-272-3818
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Fax | 719-531-5399
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Provider Business Mailing Address
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Address Line | PO BOX 49663
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City | COLORADO SPRINGS
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State | CO
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Zip | 80949-9663
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Country | US
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Telephone | 719-272-3818
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Fax | 719-531-5399
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Authorized Official
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Title or Position | PRESIDENT OWNER
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Name | DR. DAVID M. MORFORD
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Credential | DPM
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Telephone | 719-272-3818
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213EP1101X
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Taxonomy Name | Primary Podiatric Medicine Podiatrist
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License Number | POD 601
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License Number State | CO
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