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NPI 1124475330

NPI 1124475330 : LISA-CHERI MURPHY : LOS ANGELES, CA

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General NPI Number Information
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    NPI Number           |    1124475330
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    Entity Type          |    Individual 
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    Provider Name        |    LISA-CHERI MURPHY
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    05/17/2016
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    Last Update Date     |    02/10/2020
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Provider Practice Location Address
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    Address Line         |    2121 W TEMPLE ST 
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    City                 |    LOS ANGELES
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    State                |    CA
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    Zip                  |    90026-4915
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    Country              |    US
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    Telephone            |    213-385-5100
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    2121 W TEMPLE ST 
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    City                 |    LOS ANGELES
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    State                |    CA
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    Zip                  |    90026-4915
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    Country              |    US
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    Telephone            |    213-385-5100
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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        |    225400000X
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    Taxonomy Name        |    Rehabilitation Practitioner
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    251S00000X
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    Taxonomy Name        |    Community/Behavioral Health Agency
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    106H00000X
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    Taxonomy Name        |    Marriage & Family Therapist
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    License Number       |    
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    License Number State |    
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