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General NPI Number Information
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NPI Number | 1326700717
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Entity Type | Individual
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Provider Name | JORGE R MORROS LMHC
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Gender | Male
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Dates
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Enumeration Date | 10/12/2021
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Last Update Date | 02/15/2022
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Provider Practice Location Address
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Address Line | 16000 PINES BLVD
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City | PEMBROKE PINES
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State | FL
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Zip | 33082-9200
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Country | US
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Telephone | 786-202-3236
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Fax |
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Provider Business Mailing Address
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Address Line | 2367 NW 161ST AVE
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City | PEMBROKE PINES
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State | FL
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Zip | 33028-1242
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Country | US
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Telephone | 786-202-3236
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | MH11171
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License Number State | FL
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