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General NPI Number Information
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NPI Number | 1508598103
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Entity Type | Organization
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Legal Business Name | MORGAN ROGLIANO, LICSW, LLC
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Dates
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Enumeration Date | 06/30/2022
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Last Update Date | 06/30/2022
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Provider Practice Location Address
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Address Line | 175 DERBY ST
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City | HINGHAM
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State | MA
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Zip | 02043-0204
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Country | US
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Telephone | 508-630-6892
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Fax |
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Provider Business Mailing Address
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Address Line | 18 STEPHAN AVE
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City | HAVERHILL
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State | MA
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Zip | 01832-3410
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Country | US
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Telephone | 303-229-2559
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Fax |
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Authorized Official
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Title or Position | OWNER/THERAPIST
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Name | MORGAN ROGLIANO
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Credential |
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Telephone | 303-229-2559
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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