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General NPI Number Information
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NPI Number | 1912080433
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Entity Type | Organization
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Legal Business Name | WILLIAM J. MORGAN,D.M.D.,P.S.C.
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Dates
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Enumeration Date | 10/21/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1001 GIBSON BAY DR
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City | RICHMOND
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State | KY
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Zip | 40475-3544
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Country | US
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Telephone | 859-623-8200
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Fax | 859-623-8400
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Provider Business Mailing Address
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Address Line | 1001 GIBSON BAY DR SUITE 2204
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City | RICHMOND
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State | KY
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Zip | 40475-3544
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Country | US
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Telephone | 859-623-8200
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Fax | 859-623-8400
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. WILLIAM JOSEPH MORGAN
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Credential | D.M.D.
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Telephone | 859-623-8200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number | 4134
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License Number State | KY
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