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General NPI Number Information
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NPI Number | 1306971783
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Entity Type | Individual
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Provider Name | MORGAN Z LONDON LMHC
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Gender | Female
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Dates
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Enumeration Date | 02/23/2007
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Last Update Date | 10/20/2008
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Provider Practice Location Address
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Address Line | 13474 ATLANTIC BLVD STE 106
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City | JACKSONVILLE
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State | FL
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Zip | 32225-0101
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Country | US
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Telephone | 904-229-8013
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Fax | 904-220-2098
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Provider Business Mailing Address
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Address Line | 401 MONUMENT RD #53
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City | JACKSONVILLE
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State | FL
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Zip | 32225-6489
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Country | US
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Telephone | 904-229-8013
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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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 | MH9580
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License Number State | FL
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