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General NPI Number Information
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NPI Number | 1821101296
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Entity Type | Organization
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Legal Business Name | ROBERT MORRIS ENTERPRISES LLC
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Dates
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Enumeration Date | 08/17/2006
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Last Update Date | 12/18/2008
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Provider Practice Location Address
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Address Line | 5757 MONCLOVA RD SUITE 17
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City | MAUMEE
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State | OH
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Zip | 43537-1863
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Country | US
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Telephone | 419-897-9045
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Fax | 419-893-3320
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Provider Business Mailing Address
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Address Line | PO BOX 773
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City | MAUMEE
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State | OH
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Zip | 43537-0773
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Country | US
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Telephone | 419-897-9045
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Fax | 419-893-3320
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Authorized Official
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Title or Position | PROVIDER/OWNER
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Name | DR. ROBERT K. MORRIS
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Credential | M.D.
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Telephone | 419-897-9045
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208C00000X
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Taxonomy Name | Colon & Rectal Surgery Physician
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License Number | 35055343
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License Number State | OH
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