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General NPI Number Information
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NPI Number | 1386464923
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Entity Type | Organization
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Legal Business Name | MORGAN DUNN THERAPY LLC
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Dates
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Enumeration Date | 10/16/2024
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Last Update Date | 10/16/2024
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Provider Practice Location Address
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Address Line | 330 W LAKE LANSING RD
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City | EAST LANSING
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State | MI
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Zip | 48823-8527
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Country | US
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Telephone | 517-285-3194
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Fax |
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Provider Business Mailing Address
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Address Line | 1724 LINN RD
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City | WILLIAMSTON
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State | MI
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Zip | 48895-9769
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Country | US
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Telephone | 517-285-3194
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MORGAN DUNN
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Credential |
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Telephone | 517-285-3194
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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