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General NPI Number Information
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NPI Number | 1245576537
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Entity Type | Individual
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Provider Name | JOYCE MORGAN ELIAS LPC
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Gender | Female
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Dates
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Enumeration Date | 12/14/2012
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Last Update Date | 08/22/2013
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Provider Practice Location Address
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Address Line | 83 BOSTON POST RD
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City | WATERFORD
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State | CT
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Zip | 06385-2423
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Country | US
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Telephone | 860-245-9113
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Fax | 860-245-9113
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Provider Business Mailing Address
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Address Line | PO BOX 113
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City | NORTH STONINGTON
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State | CT
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Zip | 06359-0113
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Country | US
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Telephone | 860-245-9113
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Fax | 860-599-5804
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 002293
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License Number State | CT
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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 | MHC00560
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License Number State | RI
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