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General NPI Number Information
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NPI Number | 1912078114
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Entity Type | Individual
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Provider Name | JOSE A. MORELL M.ED.,CAGS,LMHC,LADC
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Gender | Male
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Dates
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Enumeration Date | 11/11/2006
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Last Update Date | 03/24/2023
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Provider Practice Location Address
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Address Line | 10 MAIN ST
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City | LAKEVILLE
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State | MA
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Zip | 02347-1674
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Country | US
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Telephone | 781-277-3300
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Fax | 781-205-1877
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Provider Business Mailing Address
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Address Line | 150 MILLER ST
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City | MIDDLEBORO
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State | MA
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Zip | 02346-3108
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Country | US
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Telephone | 978-998-0347
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Fax | 781-205-1877
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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 | 6284
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License Number State | MA
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