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General NPI Number Information
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NPI Number | 1568714244
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Entity Type | Organization
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Legal Business Name | MORGAN COUNSELING AND ASSESSMENT
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Dates
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Enumeration Date | 10/05/2012
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Last Update Date | 08/28/2013
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Provider Practice Location Address
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Address Line | 115 E MAIN ST
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City | HENDERSON
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State | TX
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Zip | 75652-3167
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Country | US
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Telephone | 903-646-1326
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Fax | 903-392-8267
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Provider Business Mailing Address
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Address Line | 115 E MAIN ST
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City | HENDERSON
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State | TX
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Zip | 75652-3167
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Country | US
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Telephone | 903-646-1326
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Fax | 903-392-8267
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Authorized Official
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Title or Position | PSYCHOLOGIST
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Name | DR. LACI MORGAN
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Credential | PSYD
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Telephone | 903-646-1326
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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