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General NPI Number Information
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NPI Number | 1962680199
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Entity Type | Organization
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Legal Business Name | LYNDON W MORGAN MD LLC
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Dates
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Enumeration Date | 02/11/2008
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Last Update Date | 08/15/2019
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Provider Practice Location Address
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Address Line | 158 NORTHPORT AVE
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City | BELFAST
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State | ME
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Zip | 04915-6060
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Country | US
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Telephone | 207-338-2571
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Fax | 207-338-3810
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Provider Business Mailing Address
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Address Line | 158 NORTHPORT AVE
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City | BELFAST
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State | ME
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Zip | 04915-6060
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Country | US
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Telephone | 207-338-2571
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Fax | 207-338-3810
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Authorized Official
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Title or Position | OWNER
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Name | LYNDON WILLIAMS MORGAN
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Credential | M.D.
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Telephone | 207-338-2571
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 01297
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License Number State | ME
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