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General NPI Number Information
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NPI Number | 1831293950
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Entity Type | Organization
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Legal Business Name | JOEL R MORTON DO INC
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Dates
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Enumeration Date | 09/11/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 245 TERRACINA BLVD SUITE 206
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City | REDLANDS
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State | CA
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Zip | 92373
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Country | US
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Telephone | 909-307-9824
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Fax | 909-335-9634
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Provider Business Mailing Address
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Address Line | 245 TERRACINA BLVD SUITE 206
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City | REDLANDS
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State | CA
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Zip | 92373
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Country | US
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Telephone | 909-307-9824
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Fax | 909-335-9634
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. JOEL R MORTON
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Credential | DO
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Telephone | 909-307-9824
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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