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General NPI Number Information
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NPI Number | 1811996325
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Entity Type | Individual
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Provider Name | JOHN W MORTON O.D.,P.S.C.
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Gender | Male
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Dates
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Enumeration Date | 07/18/2005
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Last Update Date | 10/27/2011
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Provider Practice Location Address
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Address Line | 1201 13TH ST
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City | ASHLAND
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State | KY
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Zip | 41101-2607
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Country | US
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Telephone | 606-329-1404
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Fax | 606-325-7446
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Provider Business Mailing Address
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Address Line | 1201 13TH ST
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City | ASHLAND
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State | KY
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Zip | 41101-2607
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Country | US
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Telephone | 606-329-1404
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Fax | 606-325-7446
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 803DT
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License Number State | KY
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