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General NPI Number Information
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NPI Number | 1083308274
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Entity Type | Individual
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Provider Name | FREDERICK MURPHY JR. CADC
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Gender | Male
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Dates
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Enumeration Date | 06/08/2023
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Last Update Date | 06/08/2023
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Provider Practice Location Address
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Address Line | 1272 LONG HILL RD
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City | STIRLING
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State | NJ
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Zip | 07980-1010
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Country | US
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Telephone | 908-504-2700
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Fax | 908-504-2450
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Provider Business Mailing Address
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Address Line | 111 WALNUT ST
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City | ROSELLE
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State | NJ
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Zip | 07203-1221
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Country | US
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Telephone | 201-306-6922
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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 | 37CA00106900
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License Number State | NJ
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