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General NPI Number Information
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NPI Number | 1881226827
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Entity Type | Individual
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Provider Name | MORGAN MCCALL MACK LAMFT
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Gender | Female
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Dates
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Enumeration Date | 02/07/2020
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Last Update Date | 02/07/2020
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Provider Practice Location Address
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Address Line | 2200 E WILLIAMS FIELD RD STE 200
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City | GILBERT
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State | AZ
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Zip | 85295-0764
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Country | US
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Telephone | 623-900-4401
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Fax |
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Provider Business Mailing Address
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Address Line | 20328 E CLOUD RD
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City | QUEEN CREEK
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State | AZ
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Zip | 85142-5426
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Country | US
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Telephone | 480-734-7804
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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 | LAMFT-6348T
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License Number State | AZ
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