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General NPI Number Information
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NPI Number | 1073858502
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Entity Type | Individual
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Provider Name | CAROLYN ANN COOPER MURRIEL LMFT-A, LCDC
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Gender | Female
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Dates
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Enumeration Date | 12/10/2012
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Last Update Date | 02/29/2016
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Provider Practice Location Address
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Address Line | 2305 RIDGE RD SUITE 101-D
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City | ROCKWALL
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State | TX
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Zip | 75087-5162
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Country | US
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Telephone | 469-757-4327
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Fax |
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Provider Business Mailing Address
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Address Line | 251 QUAIL CREEK RD
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City | ROCKWALL
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State | TX
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Zip | 75032-7163
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Country | US
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Telephone | 469-247-6412
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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 | 12455
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License Number State | TX
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