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General NPI Number Information
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NPI Number | 1396947230
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Entity Type | Organization
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Legal Business Name | MORNINGSTAR FOUNDATION
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Dates
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Enumeration Date | 06/04/2007
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Last Update Date | 04/08/2008
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Provider Practice Location Address
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Address Line | 601 BUSINESS LOOP 70-W 153
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City | COLUMBIA
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State | MO
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Zip | 65203
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Country | US
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Telephone | 573-499-4572
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Fax | 573-856-1183
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Provider Business Mailing Address
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Address Line | 601BUSINESS LOOP 70-W 153
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City | COLUMBIA
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State | MO
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Zip | 65203
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Country | US
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Telephone | 573-499-4572
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Fax | 573-256-1183
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Authorized Official
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Title or Position | OWNER
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Name | MS. SUSAN E MURRAY
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Credential | PH.D
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Telephone | 573-499-4572
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 101YP1600X
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Taxonomy Name | Pastoral Counselor
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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Taxonomy #5
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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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Taxonomy #6
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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Taxonomy #7
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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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Taxonomy #8
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Taxonomy Code | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number |
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License Number State |
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