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General NPI Number Information
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NPI Number | 1174396360
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Entity Type | Individual
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Provider Name | KRISTINA DENISE MURIN LSW
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Gender | Female
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Dates
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Enumeration Date | 10/31/2023
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Last Update Date | 10/31/2023
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Provider Practice Location Address
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Address Line | 79 N FRANKLIN TPKE
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City | RAMSEY
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State | NJ
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Zip | 07446-2035
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Country | US
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Telephone | 201-749-1750
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Fax |
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Provider Business Mailing Address
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Address Line | 17 N DELL AVE
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City | KENVIL
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State | NJ
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Zip | 07847-2555
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Country | US
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Telephone | 201-486-1755
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 44SL06821900
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License Number State | NJ
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