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General NPI Number Information
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NPI Number | 1114386323
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Entity Type | Individual
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Provider Name | S MURPHY VESTUTE MS, LMHC, CGRS
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Gender | Female
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Dates
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Enumeration Date | 02/16/2016
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Last Update Date | 10/26/2018
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Provider Practice Location Address
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Address Line | 357 HIATT DR
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City | PALM BEACH GARDENS
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State | FL
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Zip | 33418-8222
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Country | US
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Telephone | 562-529-4488
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Fax |
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Provider Business Mailing Address
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Address Line | 11362 162ND PL N
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City | JUPITER
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State | FL
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Zip | 33478-6143
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Country | US
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Telephone | 561-747-9513
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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 | MH15825
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License Number State | FL
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