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General NPI Number Information
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NPI Number | 1376288225
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Entity Type | Individual
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Provider Name | MICHAEL JOSLYN MORGAN JR. PH.D.
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Gender | Male
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Dates
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Enumeration Date | 05/04/2022
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Last Update Date | 07/13/2023
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Provider Practice Location Address
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Address Line | 220 W COLLEGE ST STE C
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City | GRIFFIN
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State | GA
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Zip | 30224-4250
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Country | US
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Telephone | 470-743-8264
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Fax |
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Provider Business Mailing Address
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Address Line | 245 MERIWETHER ST
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City | GRIFFIN
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State | GA
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Zip | 30224-3010
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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