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General NPI Number Information
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NPI Number | 1801347224
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Entity Type | Individual
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Provider Name | LANCE MORGAN LMSW
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Gender | Male
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Dates
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Enumeration Date | 10/20/2016
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Last Update Date | 10/20/2016
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Provider Practice Location Address
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Address Line | 1420 BUSHWICK AVE 3RD FL
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City | BROOKLYN
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State | NY
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Zip | 11207-1422
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Country | US
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Telephone | 347-770-9911
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Fax | 347-915-0686
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Provider Business Mailing Address
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Address Line | 133 DUBOIS AVE A6
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City | VALLEY STREAM
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State | NY
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Zip | 11581-3301
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Country | US
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Telephone | 718-844-8713
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Fax | 347-915-0686
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 099093
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License Number State | NY
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