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General NPI Number Information
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NPI Number | 1093830457
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Entity Type | Individual
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Provider Name | KATHLEEN S MORLOCK M.ED
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Gender | Female
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Dates
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Enumeration Date | 03/21/2007
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Last Update Date | 06/13/2008
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Provider Practice Location Address
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Address Line | 1335 PHAY AVE SUITE E
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City | CANON CITY
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State | CO
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Zip | 81212-2334
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Country | US
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Telephone | 719-269-7608
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Fax | 719-589-9136
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Provider Business Mailing Address
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Address Line | 402 SUMMER DR
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City | CANON CITY
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State | CO
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Zip | 81212-5228
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Country | US
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Telephone | 719-269-7608
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Fax | 719-589-9136
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 1025
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License Number State | CO
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