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General NPI Number Information
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NPI Number | 1124453451
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Entity Type | Individual
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Provider Name | MARGO MERRYMAN MURRAY
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Gender | Female
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Dates
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Enumeration Date | 09/05/2013
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Last Update Date | 01/13/2025
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Provider Practice Location Address
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Address Line | 600 LAFAYETTE AVE 4TH FLOOR
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City | BROOKLYN
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State | NY
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Zip | 11216-1020
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Country | US
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Telephone | 718-475-9407
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Fax |
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Provider Business Mailing Address
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Address Line | 308 5TH ST SW
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City | CHARLOTTESVILLE
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State | VA
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Zip | 22903-5526
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Country | US
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Telephone | 505-366-8985
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 087454
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 0904013837
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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