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General NPI Number Information
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NPI Number | 1801044516
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Entity Type | Individual
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Provider Name | CHARLES PETER MORGAN LMFT
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Gender | Male
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Dates
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Enumeration Date | 09/05/2008
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Last Update Date | 03/20/2024
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Provider Practice Location Address
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Address Line | 1505 BURNS AVE
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City | SAINT PAUL
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State | MN
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Zip | 55106-6603
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Country | US
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Telephone | 651-774-5503
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Fax |
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Provider Business Mailing Address
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Address Line | 1505 BURNS AVE
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City | SAINT PAUL
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State | MN
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Zip | 55106-6603
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Country | US
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Telephone | 651-774-5503
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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 | 3786
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License Number State | MN
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 57559
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License Number State | CA
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