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General NPI Number Information
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NPI Number | 1104995224
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Entity Type | Individual
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Provider Name | SCOTT KENNETH MORSE LCSW
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Gender | Male
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Dates
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Enumeration Date | 11/06/2006
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Last Update Date | 08/15/2008
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Provider Practice Location Address
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Address Line | 609 MAIN ST SUITE 4
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City | SOUTH PORTLAND
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State | ME
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Zip | 04106-5453
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Country | US
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Telephone | 207-329-4941
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Fax | 207-761-5606
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Provider Business Mailing Address
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Address Line | 609 MAIN ST SUITE 4
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City | SOUTH PORTLAND
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State | ME
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Zip | 04106-5453
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Country | US
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Telephone | 207-329-4941
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Fax | 207-761-5606
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 1C6637
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License Number State | ME
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