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General NPI Number Information
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NPI Number | 1912275991
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Entity Type | Individual
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Provider Name | JOHN MELVIN MORRIS DDS, DHSC
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Gender | Male
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Dates
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Enumeration Date | 12/06/2011
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Last Update Date | 12/06/2011
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Provider Practice Location Address
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Address Line | 1757 E BASELINE RD STE 109
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City | GILBERT
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State | AZ
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Zip | 85233-1533
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Country | US
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Telephone | 480-452-7390
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Fax |
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Provider Business Mailing Address
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Address Line | 2074 E DIAS DR
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City | GILBERT
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State | AZ
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Zip | 85234-3834
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Country | US
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Telephone | 480-452-5134
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Fax |
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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 | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 8050
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 3609
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License Number State | NM
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