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General NPI Number Information
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NPI Number | 1255660320
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Entity Type | Organization
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Legal Business Name | MURPHY COUNSELING ASSOCIATES, LLC
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Dates
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Enumeration Date | 12/18/2009
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Last Update Date | 12/18/2009
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Provider Practice Location Address
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Address Line | 88 BROAD ST
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City | GUILFORD
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State | CT
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Zip | 06437-2635
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Country | US
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Telephone | 203-927-8041
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Fax |
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Provider Business Mailing Address
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Address Line | 1774 LONG HILL RD
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City | GUILFORD
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State | CT
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Zip | 06437-1572
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Country | US
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Telephone | 203-453-9690
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Fax |
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Authorized Official
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Title or Position | STATUTORY AGENT
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Name | JENNIFER MURPHY
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Credential | LCSW
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Telephone | 203-927-8041
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 005860
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License Number State | CT
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