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General NPI Number Information
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NPI Number | 1033624721
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Entity Type | Individual
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Provider Name | RODERICK A. MURPHY LCADC, LPC
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Gender | Male
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Dates
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Enumeration Date | 12/05/2017
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Last Update Date | 01/21/2019
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Provider Practice Location Address
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Address Line | 123 22ND ST APT 2
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City | IRVINGTON
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State | NJ
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Zip | 07111-4421
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Country | US
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Telephone | 973-207-5714
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Fax |
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Provider Business Mailing Address
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Address Line | 123 22ND ST APT 2
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City | IRVINGTON
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State | NJ
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Zip | 07111-4421
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Country | US
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Telephone | 973-207-5714
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 37LC00273900
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | PC010395
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License Number State | PA
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