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General NPI Number Information
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NPI Number | 1972760247
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Entity Type | Organization
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Legal Business Name | R. GLENN MORRIS DDS
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Dates
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Enumeration Date | 05/22/2008
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Last Update Date | 05/22/2008
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Provider Practice Location Address
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Address Line | 5990 AIRLINE DR SUITE 100
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City | HOUSTON
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State | TX
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Zip | 77076-4233
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Country | US
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Telephone | 713-697-2631
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Fax | 713-697-2046
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Provider Business Mailing Address
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Address Line | 5990 AIRLINE DR SUITE 100
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City | HOUSTON
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State | TX
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Zip | 77076-4233
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Country | US
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Telephone | 713-697-2631
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Fax | 713-697-2046
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Authorized Official
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Title or Position | OWNER
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Name | MR. ROBERT GLENN MORRIS
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Credential | D.D.S.
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Telephone | 713-697-2631
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 9241
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License Number State | TX
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