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General NPI Number Information
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NPI Number | 1104833565
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Entity Type | Individual
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Provider Name | SUSAN ELLIS MURPHY MA, RNC, LPC
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Gender | Female
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Dates
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Enumeration Date | 08/01/2006
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Last Update Date | 09/12/2008
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Provider Practice Location Address
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Address Line | 1930 MARLTON PIKE E SUITE M68
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City | CHERRY HILL
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State | NJ
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Zip | 08003-2150
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Country | US
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Telephone | 856-816-7114
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Fax |
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Provider Business Mailing Address
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Address Line | 300 PATRIOT DR
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City | LOGAN TOWNSHIP
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State | NJ
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Zip | 08085-4252
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Country | US
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Telephone | 856-467-4509
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 37PC00233200
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License Number State | NJ
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