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General NPI Number Information
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NPI Number | 1093806341
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Entity Type | Individual
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Provider Name | CARLY S. MURPHY PH.D.
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Gender | Female
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Dates
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Enumeration Date | 09/28/2006
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Last Update Date | 10/04/2021
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Provider Practice Location Address
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Address Line | 10 CRANE AVE
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City | EAST LONGMEADOW
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State | MA
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Zip | 01028-2360
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Country | US
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Telephone | 860-810-8881
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Fax |
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Provider Business Mailing Address
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Address Line | 415 FIRETOWN RD
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City | SIMSBURY
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State | CT
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Zip | 06070-1258
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Country | US
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Telephone | 860-810-8881
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Fax | 844-708-0620
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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 | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number | 9357
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License Number State | MA
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