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General NPI Number Information
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NPI Number | 1194186478
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Entity Type | Individual
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Provider Name | KANDI A MORRIS CADC, LPC-C
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Gender | Female
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Dates
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Enumeration Date | 03/14/2016
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Last Update Date | 03/14/2016
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Provider Practice Location Address
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Address Line | 321 E MAIN ST
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City | CUSHING
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State | OK
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Zip | 74023-2643
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Country | US
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Telephone | 918-399-6930
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Fax | 918-376-0170
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Provider Business Mailing Address
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Address Line | 321 E MAIN ST
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City | CUSHING
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State | OK
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Zip | 74023-2643
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Country | US
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Telephone | 918-399-6930
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Fax | 918-376-0170
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 414
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License Number State | OK
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