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General NPI Number Information
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NPI Number | 1811495955
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Entity Type | Organization
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Legal Business Name | FT MORGAN ORTHODONTICS PLLC
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Dates
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Enumeration Date | 01/23/2018
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Last Update Date | 01/23/2018
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Provider Practice Location Address
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Address Line | 531 W PLATTE AVE
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City | FORT MORGAN
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State | CO
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Zip | 80701-2654
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Country | US
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Telephone | 970-542-2500
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Fax |
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Provider Business Mailing Address
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Address Line | 531 W PLATTE AVE
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City | FORT MORGAN
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State | CO
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Zip | 80701-2654
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Country | US
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Telephone | 970-542-2500
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Fax |
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Authorized Official
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Title or Position | MEMBER
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Name | DR. ALBERT ENG
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Credential | DDS
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Telephone | 319-471-1354
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 9817
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License Number State | CO
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