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General NPI Number Information
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NPI Number | 1558607614
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Entity Type | Individual
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Provider Name | CAROLYN MORGAN MN, LPCC
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Gender | Female
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Dates
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Enumeration Date | 12/18/2012
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Last Update Date | 12/18/2012
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Provider Practice Location Address
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Address Line | 1503 LLANO ST STE. C
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City | SANTA FE
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State | NM
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Zip | 87505-2000
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Country | US
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Telephone | 575-770-5765
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 793
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City | EL PRADO
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State | NM
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Zip | 87529-0793
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Country | US
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Telephone | 575-770-5765
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 3490
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License Number State | NM
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