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General NPI Number Information
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NPI Number | 1386003549
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Entity Type | Individual
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Provider Name | MORGAN RUIZ LCDC
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Gender | Male
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Dates
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Enumeration Date | 02/16/2016
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Last Update Date | 02/16/2016
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Provider Practice Location Address
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Address Line | 20514 HIGHWAY 6
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City | MANVEL
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State | TX
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Zip | 77578-3810
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Country | US
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Telephone | 832-621-8986
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Fax | 281-377-5870
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Provider Business Mailing Address
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Address Line | 20514 HIGHWAY 6
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City | MANVEL
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State | TX
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Zip | 77578-3810
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Country | US
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Telephone | 832-621-8986
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Fax | 281-377-5870
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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 | 13307
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License Number State | TX
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