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General NPI Number Information
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NPI Number | 1497921191
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Entity Type | Organization
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Legal Business Name | MORGAN COUNSELING SERVICES INC.
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Dates
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Enumeration Date | 05/02/2008
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Last Update Date | 05/02/2008
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Provider Practice Location Address
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Address Line | 10312 120TH STREET EAST SUITE #3
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City | PUYALLUP
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State | WA
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Zip | 98374
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Country | US
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Telephone | 253-848-6887
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Fax | 253-604-0312
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Provider Business Mailing Address
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Address Line | 10312 120TH STREET EAST SUITE #3
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City | PUYALLUP
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State | WA
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Zip | 98374
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Country | US
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Telephone | 253-848-6887
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Fax | 253-604-0312
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. THERON HAYDEN MORGAN
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Credential | MASTER
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Telephone | 253-848-6887
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number | 27119200
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License Number State | WA
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