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General NPI Number Information
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NPI Number | 1386350239
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Entity Type | Individual
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Provider Name | MICHELLE MORRIS
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Gender | Female
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Dates
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Enumeration Date | 01/24/2023
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Last Update Date | 07/11/2024
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Provider Practice Location Address
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Address Line | 183 LIVINGSTON PL UNIT 3
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City | BRIDGEPORT
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State | CT
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Zip | 06610-1745
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Country | US
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Telephone | 860-712-2228
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Fax |
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Provider Business Mailing Address
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Address Line | 37 GLENBROOK RD # 3
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City | STAMFORD
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State | CT
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Zip | 06902-2913
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State | CT
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