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General NPI Number Information
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NPI Number | 1023284734
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Entity Type | Organization
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Legal Business Name | MORGAN COUNSELING SERVICES
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Dates
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Enumeration Date | 05/02/2008
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Last Update Date | 05/02/2008
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Provider Practice Location Address
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Address Line | 451 SOUTHWEST 10TH STREET SUITE 215
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City | RENTON
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State | WA
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Zip | 98057
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Country | US
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Telephone | 425-430-9548
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Fax | 425-204-9467
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Provider Business Mailing Address
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Address Line | 451 SOUTHWEST 10TH STREET SUITE 215
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City | RENTON
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State | WA
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Zip | 98057
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Country | US
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Telephone | 425-430-9548
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Fax | 425-204-9467
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Authorized Official
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Title or Position | PRESIDENT
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Name | THERON HAYDEN MORGAN
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Credential | MASTER
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Telephone | 253-939-2243
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number | 17121600
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License Number State | WA
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