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General NPI Number Information
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NPI Number | 1043745482
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Entity Type | Organization
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Legal Business Name | LISA MURPHY LCSW
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Dates
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Enumeration Date | 04/24/2017
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Last Update Date | 04/24/2017
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Provider Practice Location Address
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Address Line | 200 TAMAL PLZ STE 130
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City | CORTE MADERA
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State | CA
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Zip | 94925-1128
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Country | US
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Telephone | 415-730-3679
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Fax |
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Provider Business Mailing Address
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Address Line | 103 SHELLEY DR
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City | MILL VALLEY
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State | CA
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Zip | 94941
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | LCSW
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Name | LISA MURPHY
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Credential | LCSW
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Telephone | 415-730-3679
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 25280
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License Number State | CA
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