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General NPI Number Information
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NPI Number | 1124339577
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Entity Type | Individual
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Provider Name | JEANNE P MURRAY LMFT
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Gender | Female
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Dates
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Enumeration Date | 06/30/2010
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Last Update Date | 02/18/2021
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Provider Practice Location Address
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Address Line | 114 E MAIN ST
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City | CLINTON
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State | CT
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Zip | 06413-2131
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Country | US
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Telephone | 860-664-0787
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Fax | 860-664-1982
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Provider Business Mailing Address
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Address Line | 1179 BOSTON POST RD FL 2
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City | OLD SAYBROOK
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State | CT
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Zip | 06475-4427
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Country | US
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Telephone | 860-480-8311
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 001338
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License Number State | CT
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