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General NPI Number Information
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NPI Number | 1871598870
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Entity Type | Individual
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Provider Name | FRANK MORELLI LMHC
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Gender | Male
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Dates
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Enumeration Date | 06/16/2005
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Last Update Date | 11/27/2017
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Provider Practice Location Address
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Address Line | 12412 SAN JOSE BLVD STE 401
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City | JACKSONVILLE
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State | FL
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Zip | 32223-8620
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Country | US
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Telephone | 904-410-6324
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Fax | 855-823-3434
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Provider Business Mailing Address
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Address Line | PO BOX 600100
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City | JACKSONVILLE
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State | FL
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Zip | 32260-0100
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Country | US
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Telephone | 904-410-6324
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Fax | 855-823-3434
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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 | MH 2774
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License Number State | FL
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