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General NPI Number Information
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NPI Number | 1154791069
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Entity Type | Individual
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Provider Name | CHRISTINE MURPHY BURRIS
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Gender | Female
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Dates
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Enumeration Date | 10/05/2015
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Last Update Date | 10/05/2015
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Provider Practice Location Address
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Address Line | 52 OAK ST
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City | MIDDLEBORO
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State | MA
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Zip | 02346-2078
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Country | US
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Telephone | 774-213-8337
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Fax |
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Provider Business Mailing Address
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Address Line | 521 ASHLEY BLVD 3N
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City | NEW BEDFORD
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State | MA
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Zip | 02745-5378
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Country | US
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Telephone | 845-337-8654
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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