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General NPI Number Information
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NPI Number | 1982240024
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Entity Type | Individual
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Provider Name | AUTUMN MORGAN DDS
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Gender | Female
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Dates
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Enumeration Date | 11/25/2019
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Last Update Date | 01/13/2023
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Provider Practice Location Address
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Address Line | 2720 STANGE RD
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City | AMES
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State | IA
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Zip | 50010-3974
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Country | US
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Telephone | 515-268-0516
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Fax |
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Provider Business Mailing Address
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Address Line | 2720 STANGE RD
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City | AMES
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State | IA
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Zip | 50010-3974
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Country | US
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Telephone | 515-268-0516
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 7590
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License Number State | NE
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DDS-10036
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License Number State | IA
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