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General NPI Number Information
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NPI Number | 1306349600
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Entity Type | Individual
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Provider Name | LORRI A MORGAN PHD, LMSW
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Gender | Female
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Dates
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Enumeration Date | 03/13/2018
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Last Update Date | 03/13/2018
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Provider Practice Location Address
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Address Line | 3320 N MILWAUKEE ST STE 150
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City | BOISE
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State | ID
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Zip | 83704-0775
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Country | US
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Telephone | 208-514-2610
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Fax |
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Provider Business Mailing Address
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Address Line | 4101 W PLUM ST
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City | BOISE
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State | ID
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Zip | 83703-4414
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Country | US
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Telephone | 208-608-4710
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Fax |
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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 | LMSW-36776
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License Number State | ID
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