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General NPI Number Information
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NPI Number | 1215888037
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Entity Type | Individual
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Provider Name | JANE AUSTIN MURDOCK
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Gender | Female
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Dates
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Enumeration Date | 02/06/2026
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Last Update Date | 02/06/2026
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Provider Practice Location Address
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Address Line | 6425 POWERS FERRY RD STE 300
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City | SANDY SPRINGS
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State | GA
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Zip | 30339-2908
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Country | US
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Telephone | 678-990-8745
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Fax |
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Provider Business Mailing Address
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Address Line | 5452 GLENRIDGE DR APT 666
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City | ATLANTA
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State | GA
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Zip | 30342-4956
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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 |
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | AMFT000924
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License Number State | GA
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