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General NPI Number Information
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NPI Number | 1922491828
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Entity Type | Individual
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Provider Name | JENNIFER LYNE MORGAN LCSW
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Gender | Female
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Dates
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Enumeration Date | 03/17/2015
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Last Update Date | 02/01/2018
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Provider Practice Location Address
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Address Line | 346 S MAIN ST
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City | LEITCHFIELD
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State | KY
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Zip | 42754-1428
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Country | US
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Telephone | 270-230-1777
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Fax | 270-679-0838
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Provider Business Mailing Address
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Address Line | 346 S MAIN ST
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City | LEITCHFIELD
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State | KY
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Zip | 42754-1428
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Country | US
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Telephone | 270-230-1777
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Fax | 270-679-0838
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 7214
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 252898
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License Number State | KY
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