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General NPI Number Information
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NPI Number | 1699081216
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Entity Type | Individual
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Provider Name | ELIZABETH KAREN MORGAN LCSW
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Gender | Female
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Dates
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Enumeration Date | 08/19/2010
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Last Update Date | 08/19/2010
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Provider Practice Location Address
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Address Line | 3001 GREEN BAY RD
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City | NORTH CHICAGO
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State | IL
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Zip | 60064-3048
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Country | US
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Telephone | 847-688-1900
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Fax |
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Provider Business Mailing Address
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Address Line | 4655 N MANOR AVE 3
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City | CHICAGO
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State | IL
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Zip | 60625-3717
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Country | US
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Telephone | 412-779-5986
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 149.013478
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License Number State | IL
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