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General NPI Number Information
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NPI Number | 1366954414
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Entity Type | Individual
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Provider Name | DAIREK RAYMOND MORGAN MSMFT, LMFT
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Gender | Male
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Dates
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Enumeration Date | 10/30/2017
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Last Update Date | 10/30/2017
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Provider Practice Location Address
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Address Line | 11712 MOORPARK ST #111
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City | STUDIO CITY
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State | CA
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Zip | 91604
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Country | US
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Telephone | 323-633-1502
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Fax |
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Provider Business Mailing Address
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Address Line | 11712 MOORPARK ST STE 111
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City | STUDIO CITY
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State | CA
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Zip | 91604-2163
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Country | US
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Telephone |
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 102086
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License Number State | CA
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