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General NPI Number Information
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NPI Number | 1053931212
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Entity Type | Individual
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Provider Name | JESSICA MURRAY
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Gender | Female
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Dates
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Enumeration Date | 04/17/2020
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Last Update Date | 02/12/2026
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Provider Practice Location Address
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Address Line | 955 NW 17TH AVE STE D
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City | DELRAY BEACH
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State | FL
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Zip | 33445-2516
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Country | US
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Telephone | 561-278-6033
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Fax |
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Provider Business Mailing Address
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Address Line | 7535 LA PAZ BLVD APT 207
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City | BOCA RATON
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State | FL
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Zip | 33433-6033
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Country | US
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Telephone | 518-369-2508
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 26169
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License Number State | FL
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