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General NPI Number Information
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NPI Number | 1700093374
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Entity Type | Individual
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Provider Name | MICHAEL M. MORGAN PH.D.
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Gender | Male
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Dates
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Enumeration Date | 05/16/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1213 E. GRAND AVE.
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City | LARAMIE
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State | WY
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Zip | 82070
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Country | US
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Telephone | 307-399-5031
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Fax |
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Provider Business Mailing Address
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Address Line | 1000 E. UNIVERSITY AVE. DEPARTMENT 3374
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City | LARAMIE
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State | WY
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Zip | 82071
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Country | US
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Telephone |
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | LMFT-115
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License Number State | WY
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