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General NPI Number Information
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NPI Number | 1134139827
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Entity Type | Organization
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Legal Business Name | WALTER W. MURRELL, PH.D.
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Dates
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Enumeration Date | 08/08/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 12301 WILSHIRE BLVD SUITE 210
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City | LOS ANGELES
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State | CA
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Zip | 90025-1007
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Country | US
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Telephone | 310-204-1950
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Fax |
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Provider Business Mailing Address
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Address Line | 12301 WILSHIRE BLVD SUITE 210
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City | LOS ANGELES
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State | CA
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Zip | 90025-1007
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PSYCHOLOGIST/OWNER
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Name | DR. WALTER W. MURRELL
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Credential | PH.D.
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Telephone | 310-204-1950
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PSY9861
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License Number State | CA
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