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General NPI Number Information
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NPI Number | 1225492010
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Entity Type | Individual
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Provider Name | MARIE MURRAY MA. LPC, ATR
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Gender | Female
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Dates
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Enumeration Date | 04/08/2016
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Last Update Date | 04/08/2016
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Provider Practice Location Address
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Address Line | 1222 S WASHINGTON AVE
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City | ROYAL OAK
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State | MI
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Zip | 48067-3222
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Country | US
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Telephone | 248-547-2260
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Fax |
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Provider Business Mailing Address
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Address Line | 2775 MACKINTOSH LN
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City | BLOOMFIELD HILLS
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State | MI
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Zip | 48302-0934
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Country | US
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Telephone | 248-933-6443
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 640102906
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License Number State | MI
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