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General NPI Number Information
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NPI Number | 1245887736
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Entity Type | Individual
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Provider Name | ELLA MORGAN THOMPSON LPC
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Gender | Female
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Dates
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Enumeration Date | 08/20/2019
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Last Update Date | 04/19/2023
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Provider Practice Location Address
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Address Line | 1426 DANBERRY ST
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City | BURKBURNETT
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State | TX
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Zip | 76354-3116
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Country | US
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Telephone | 940-263-1359
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Fax | 940-283-9406
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Provider Business Mailing Address
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Address Line | PO BOX 6268
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City | SHEPPARD AFB
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State | TX
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Zip | 76311-0268
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Country | US
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Telephone | 940-263-1359
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Fax | 940-283-9406
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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 | 89090
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 0701008536
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License Number State | VA
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