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General NPI Number Information
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NPI Number | 1235670043
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Entity Type | Organization
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Legal Business Name | MURDOCH DEVELOPMENTAL CENTER CHILDREN'S ASSESSMENT CLINIC
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Dates
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Enumeration Date | 03/13/2017
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Last Update Date | 03/07/2024
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Provider Practice Location Address
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Address Line | 1600 EAST C. STREET
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City | BUTNER
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State | NC
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Zip | 27509-2530
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Country | US
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Telephone | 919-575-1000
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Fax | 919-575-1007
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Provider Business Mailing Address
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Address Line | PO BOX 3000
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City | BUTNER
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State | NC
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Zip | 27509-3000
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Country | US
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Telephone | 919-575-1000
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Fax | 919-575-1007
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Authorized Official
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Title or Position | DEPUTY SEC. FBBHDD SERVICES
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Name | DALE ARMSTRONG
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Credential | FASCHE
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Telephone | 919-855-4700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QD1600X
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Taxonomy Name | Developmental Disabilities Clinic/Center
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License Number |
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License Number State |
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