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General NPI Number Information
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NPI Number | 1932504891
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Entity Type | Individual
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Provider Name | AMY ALIDA AUDREY MORGAN CMHS, MHP, LMFTA
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Gender | Female
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Dates
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Enumeration Date | 11/04/2014
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Last Update Date | 11/04/2014
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Provider Practice Location Address
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Address Line | 15419 NE 20TH ST SUITE 103
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City | BELLEVUE
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State | WA
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Zip | 98007-3800
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Country | US
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Telephone | 253-335-2480
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Fax | 253-520-1799
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Provider Business Mailing Address
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Address Line | 15419 NE 20TH ST SUITE 103
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City | BELLEVUE
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State | WA
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Zip | 98007-3800
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Country | US
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Telephone | 253-335-2480
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Fax | 253-520-1799
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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 | MG60324020
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License Number State | WA
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