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General NPI Number Information
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NPI Number | 1073839502
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Entity Type | Individual
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Provider Name | ELAINE MARIE MORRIS LMHC, CAP
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Gender | Female
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Dates
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Enumeration Date | 04/08/2010
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Last Update Date | 04/08/2010
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Provider Practice Location Address
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Address Line | 8910 MIRAMAR PKWY SUITE 204
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City | MIRAMAR
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State | FL
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Zip | 33025-4100
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Country | US
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Telephone | 954-804-6119
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Fax | 954-435-2626
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Provider Business Mailing Address
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Address Line | 885 SW 173RD AVE
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City | PEMBROKE PINES
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State | FL
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Zip | 33029-4218
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Country | US
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Telephone | 954-804-6119
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Fax | 954-435-2626
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 4776
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | MH8058
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License Number State | FL
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